FreshRemote.Work

Care Coordinator - US - Remote

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 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 

  • Located in or near Denver, CO, and available to work in the office Monday – Friday, 10:30am – 7:00pm 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 an onsite, hourly position, the pay for this role is:

  • $20.00-$24.00/hr

 

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  

Location  

You must be authorized to work in the United States. Depending on the position we may have a preference to a specific location, but are generally open to remote work anywhere in the US.  

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. 

 

Apply

Job Profile

Regions

North America

Countries

United States

Benefits/Perks

Competitive medical, dental, and vision coverage Corporate bonus program Flexible time off Individual compensation packages Paid Time Off Protection Plans Sales incentive Stock options

Skills

Communication Customer service Data Entry Healthcare Healthcare industry Healthcare Industry Experience Medical terminology Microsoft Office Problem-solving Project Management Sales

Tasks
  • Address patient barriers to benefit utilization
  • Answer phones and respond to inquiries
  • Collaborate with providers and management to resolve issues
  • Communicate with plan members
  • Communication
  • Comply with company policies
  • Coordinate scheduling and approval process for surgeries
  • Facilitate patients through surgery review process
  • Maintain and update application data
  • Maintain confidentiality and HIPAA knowledge
  • Manage case load across clients and surgical categories
  • Obtain necessary information for referral process
  • Obtain pre-authorizations
  • Support
  • Work overtime as needed
Experience

2 to 4 years

Education

Health

Restrictions

Must be located in or near Denver, CO and available to work in the office Monday - Friday, 10

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9