Clinical Referral Specialist - Military veterans preferred

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to Paradigm.

Paradigm is seeking a full-time Clinical Referral Specialist. The primary responsibility of this position is timely and accurate processing of catastrophic referrals from start to finish, including assigning referrals, entering and posting of referrals, and sending the referral confirmations to the customer.

DUTIES AND 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.

QUALIFICATION REQUIREMENTS:

• 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.