[Remote] Clinical Referral Specialist

Note: The job is a remote job and is open to candidates in USA. Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. They are seeking a full-time Clinical Referral Specialist responsible for the timely and accurate processing of catastrophic referrals, including managing telephonic and electronic referrals and providing professional customer service.

Responsibilities

• Manage telephonic and electronic referrals from carrier representatives/sales teams, including conducting of intake interview, assignments, completion and posting of referral in coordination and/or consult with Manager, Referral Operations or delegate
• Confidently manage referral email inboxes
• Attend ongoing training/calls as needed
• Able to decipher geographical locations accurate and make accurate decisions based on same
• Provide professional and courteous customer service to both internal and external customers. Act as a liaison, for internal and external customers. Problem solve with the appropriate internal team members
• Manage frequent high demands and high urgency situations effectively and calmly

Skills

• Education - High school diploma or equivalent
• Experience - A minimum of five years of experience in administrative support services and a demonstrated history of success in working in a fast-moving, demanding environment
• Intermediate to advanced computer skills, including extensive knowledge of various software packages including Microsoft Word and Outlook
• Language Skills - Excellent oral communication skills and phone presence
• Ability to read and comprehend instructions
• Must be able to prioritize workload and be able to work with a minimum amount of supervision
• Must be able to produce written correspondence
• Customer Service - Strong telephone skills are key in this role
• Ability to be upbeat, attentive, and prioritize the competing needs of multiple customers
• Problem Solving - Ability to define problems, collect data, establish facts, and draw valid conclusions
• Ability to interpret a variety of instructions and deal with abstract and concrete variables
• Ability to independently problem solve and identify creative solutions
• Ability to 'multi-task' in a paced work environment
• Ability to juggle tasks, handle last minute changes in a fast paced environment

Benefits

• We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
• Full and part-time employees receive one paid day per calendar year.
• One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

Company Overview