Care Coordinator

Communicate and follow-up with plan members to ensure understanding of the program while delivering exceptional customer service. Answers the phones and responds to incoming inquiries while utilizing care center training tools. Facilitates patients successfully through the surgery review process, exceeding expectations while meeting the program metrics. Efficiently and effectively manages a case load across a variety of clients and surgical categories.

Coordinate the scheduling and approval process from the initial request for surgery to patient placement. Obtain the necessary information – demographic, financial, clinical and other pertinent data to complete referral process. Obtain medical records in a timely and accurate manner to ensure an expedited process. Maintain and update application with current data, pertinent information, and status of cases.

Collaborate with providers, clinics and facilities, and various levels of management to effectively resolve issues. Works effectively with other supporting operational roles and internal departments, to coordinate the member’s case. Effectively address and resolve patient barriers to utilize the benefit including working with members to address program questions. Maintain confidentiality and knowledge of HIPAA regulations. Demonstrate Transcarent core values and comply with company policies.