DME Referral Care Coordinator

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’reproud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work® and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list.

Watch this short video for a brief introduction to Paradigm.

We are seeking a full-time remote DME Referral Care Coordinator. The primary responsibilities include performing a variety of duties such as providing information on Durable Medical Equipment (DME) to staff, referral sources and injured workers. Position works closely with referral source, injured worker and DME provider to coordinate smooth acquisition and delivery of DME in a timely fashion.

Hours:

Monday – Friday, 9:30a – 6p EST

• Receive DME referrals, communicate status and receipt of DME to referral sources. Ensure written authorization from payor source prior to delivery of equipment. Provide updates to referral sources, provider, and injured worker as well as confirmation of DME delivery. Work closely with referral sources, injured workers and DME providers to ensure appropriate DME is delivered in a specified timeframe. Follow up with injured workers and referral sources in a timely manner to ensure customer satisfaction.
• Provide accurate, timely pricing to the Billing Department to ensure DME billing is accurate. Expand current list of DME providers, mindful to secure best possible pricing for equipment.
• Coordinate specific work tasks with internal teams as needed to ensure smooth and efficient flow of information. Responsive to inquiries within given time frames and within established policy. Appropriately follow up with supervisor, co-workers or residents regarding reported complaints, problems, and concerns.
• Positively support the mission, values, and vision of Paradigm Corp. through effective communication with internal and external customers, serve as positive role model, demonstrate excellent customer service, and comply with all applicable regulatory requirements and Quality Assurance initiatives, including providing a work environment free from all illegal and discriminatory behavior and harassment, including sexual harassment.
• Maintain Confidentiality of all data, including ensuring protection injured workers’ rights, Protected Health Information (PHI), employee, and operations data.
• Complete requirements for required training, demonstrate acceptable attendance, and appropriate personal appearance.
• Cooperate and work well together with all co-workers, ensuring all communication is professional and cordial;
  Plan, execute and complete job duties with minimal supervisory direction, utilizing appropriate sound judgment.

• Education/Training:
  Some college credit and/or experience in a related discipline.
• Previous Workers’ Compensation experience strongly preferred.
• Previous DME and Customer Service experience in a call center preferred.
• Experience:
  
  At least one (1) year of related experience in healthcare and DME.
• Excellent communication skills, verbal and written;
  Proficient in reading, grammar, and mathematics. Strong computer skills (e.g., Outlook, Excel, Word, Teams, proprietary software for which training will be provided);
  Accuracy and efficiency required. Excellent organizational, prioritization and multi-tasking skills. Knowledgeable of medical terminology.
• Health and wellness – We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions,…