[Remote] Patient Care Coordinator-Bilingual Preferred

Note: The job is a remote job and is open to candidates in USA. Sedgwick is a company dedicated to providing meaningful support to individuals facing unexpected challenges. The Patient Care Coordinator is responsible for delivering world-class customer service by processing referrals for medical goods and services, while ensuring compliance with state regulations and workers compensation guidelines.

Responsibilities

• Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or confirming delivery of said goods or service
• Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process
• Procures vendor partners for each referral as it relates to the goods or services requested
• Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals
• Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim’s adjuster
• Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day
• Processes referrals per state regulations and workers compensation guidelines
• Performs other duties as assigned
• Supports the organization's quality program(s)
• Travels as required

Skills

• High school diploma or GED required
• Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required
• Strong customer service skills
• Strong critical thinking skills
• Self-Starter
• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Ability to create and complete comprehensive, accurate and constructive written reports
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies
• Credit security clearance, confirmed via a background credit check, is required for this position

Company Overview

• Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. It was founded in 1969, and is headquartered in Memphis, Tennessee, USA, with a workforce of 10001+ employees. Its website is http://www.sedgwick.com.

Company H1B Sponsorship

• Sedgwick has a track record of offering H1B sponsorships, with 2 in 2026, 11 in 2025, 10 in 2024, 4 in 2023, 9 in 2022, 14 in 2021, 10 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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