What you’ll do

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. Obtain pre-authorizations.
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
Comply with company policies
Be willing and available to work overtime as needed

What we’re looking for

Available to work Monday - Friday, 11:30a-8:00p MT
2 to 4 years customer relationship and phone center experience
Proficient in data entry, Microsoft Office, and contact center-style phone systems
Excellent customer service, written and verbal communication and interpersonal skills
A “delight the customer” attitude
Prior healthcare industry experience with a working knowledge of medical terminology and health benefits claim process
Strong organizational, critical thinking and problem-solving skills
Strong attention to detail and follow-through
Project management-type skills; prior experience managing a high-volume caseload
An ability to focus in a high energy atmosphere
Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude

Nice to have

Experience in surgical scheduling
Strong skills in multitasking
Ability to move between multiple technologies

As a remote, hourly position, the pay for this role is:

$20.00-$24.00/hr

Who we are

Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Transcarent’s AI-powered WayFinding, comprehensive Care Experiences – Cancer Care, Surgery Care, Weight – and Pharmacy Benefits offerings combined with Accolade’s health advocacy, expert medical opinion, and primary care, allows us to meet people wherever they are on their health and care journey. Together, more than 20 million people have access to the combined company’s offerings. Employers, health plans, and leading point solutions rely on us to provide trusted information, increase access, and deliver care.

We are looking for teammates to join us in building our company, culture, and Member experience who:

Put people first, and make decisions with the Member’s best interests in mind
Are active learners, constantly looking to improve and grow
Are driven by our mission to measurably improve health and care each day
Bring the energy needed to transform health and care, and move and adapt rapidly
Are laser focused on delivering results for Members, and proactively problem solving to get there

Total Rewards

Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate’s skills, experience, market demands, and internal equity.

Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options.

Our benefits and perks programs include, but are not limited to:

Competitive medical, dental, and vision coverage
Competitive 401(k) Plan with a generous company match
Flexible Time Off/Paid Time Off, 12 paid holidays
Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance
Mental Health and Wellness benefits

Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out!

Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current health and care with their unique experiences.

Care Coordinator

AI overview

Perks & Benefits Extracted with AI