About the Role
Care Coordinator – Remote
Fully Remote
Work@Home USA
Full time
REQ-008220
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Care Coordinator – Remote
Job Description:
The Sagility Team is currently hiring a talented Care Coordinator. This is a none-clinical position, in this role you will deliver exceptional quality and service to all patients and other customers through a constant pursuit of excellence and respect for every individual.
Education:
High School Diploma or equivalent required
Experience:
- A minimum 1-year experience working in an office setting as a receptionist, telephone customer service representative, or telemarketing representative required. Direct experience in a telehealth support function preferred.
- Good communication skills via telephone with members, customers, peers and superiors
Mandatory Skills:
- With Basic Competency Level in the ff :
- Excellent interpersonal skills
- Ability to understand and interpret policy provisions.
- Product knowledge
- Typing Skills
- Problem Solving Skills
- Proficient computer skills
- Demonstrates empathy
- With Moderate Competency Level in the ff.:
- Strong member advocate: willing to go above and beyond normal responsibilities to provide the best service possible
- Ability to assist member in navigating the healthcare system and community-based resources
- Culturally sensitive and competent for assigned membership
- Strong organizational skills; ability to multi-task and be nimble
- Ability to work remotely
- Ability to determine when to escalate issues appropriately and in a timely manner
Roles & Responsibilities:
- May work in multiple products receiving inbound calls from members, physicians, clients and others to
- process requests per Sagility LLC policies and guidelines
- May work in multiple products conducting outbound call projects to members for enrollment purposes,
- customer satisfaction surveys, and other outbound projects
- Routes messages to appropriate nurse and makes pertinent notes in patient charts when necessary.
- Ensures that notes are clear and timely
- Uses applications according to policies and guidelines to ensure quality delivery of services.
- Maintains a mutually effective working relationship with callers, physician offices, clients, team
- members, supervisors, and internal customers
- Maintains confidentiality of all patients according to HIPAA standards.
- Collects and validates patient demographic information including insurance type and patient contact
- information
- Obtains pre-certification or authorization numbers if necessary for referral
- Regular, reliable attendance and timeliness
- Other duties as assigned