Care Coordinator

Who we are  

Transcarent is the One Place for Health and Care. We cut through complexity, making it easy for people to access high-quality, affordable health and care. We create a personalized experience tailored for each Member, including an on-demand care team, and a connected ecosystem of high-quality, in-person care and virtual point solutions. Transcarent eliminates the guesswork and empowers Members to make better decisions about their health and care.

Transcarent is aligned with those who pay for healthcare and takes accountability for results – offering at-risk pricing models and transparent impact reporting to ensure incentives support a measurably better experience, better health, and lower costs. 

At Transcarent, you will be part of a world-class team, supported by top tier investors like 7wireVentures and General Catalyst, and founded by a mission-driven team committed to transforming the health and care experience for all. In May 2024, we closed our Series D with $126 million, propelling our total funding to $450 million and fueling accelerated AI capabilities and strategic growth opportunities. 

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 

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 …