Senior Intake Coordinator

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 detail–oriented and customer–focused Senior Intake Coordinator to join our Intake Operations team. In this role, you will be responsible for receiving phone calls in a professional and timely manner while creating appropriate Durable Medical Equipment (DME) and Home Health referrals that support injured workers, payors, clients, providers, stakeholders, and internal teams. You’ll play an important role in ensuring accurate referral creation, timely communication, and consistently high–quality service throughout the intake process. The ideal candidate demonstrates a customer–first mindset and a commitment to delivering the best possible outcomes by fully leveraging Paradigm’s solutions, collaborating effectively with internal and external partners, and helping create an exceptional customer experience. This position is fully remote and offers a consistent schedule of Monday through Friday, 12:00 PM – 8:30 PM EST.

Responsibilities:

• Primarily responsible to receive and answer phone calls in a professional, timely manner, assisting with processing Durable Medical Equipment (DME) and Home Health (HH) referrals.
• Communicate messages to internal team in an effective, efficient manner.
• Maintain payer billing location information as well as adjusters and case managers’ information.
• Process DME and HH billing for mailing as assigned.
• Create DME and Home Health referrals, create files, and maintain applicable data with appropriate document file management for all incoming faxes, invoices, clinical notes, and prescriptions.
• Assist with implementing and maintaining new customers in company's proprietary software.
• Complete unmatched e-claim reports.
• Notify appropriate internal departments regarding new referrals.
• Responsible for appropriately managing incoming mail.
• Follow up as appropriate with co-workers, supervisor, or referral sources as needed.
• Responsive to inquiries within given timeframes and within established policy.
• Appropriately follow up with supervisor, co-workers or residents regarding reported complaints, problems, and concerns.
• Assist with special projects as assigned.
• Positively support the mission, values, and vision of Paradigm through effective communication with internal and external customers, serve as positive role model, demonstrate excellent customer service, and comply with all applicable regulatory requirements and Quality Assurance initiatives, including providing a work environment free from all illegal and discriminatory behavior and harassment, including sexual harassment.
• Maintain reliable and predictable attendance during scheduled work hours.

Qualifications:

• Education/Training: Some college credit and/or experience in a related discipline.
• Experience: At least one year of experience working with Injured Workers or Workers’ Compensation Insurance. One (1) year of related experience may be considered in lieu (e.g., DME, insurance, healthcare, physician practice, and orthotics).
• Skills: Excellent communication skills, verbal and written; Proficient in reading, grammar, and mathematics. Strong computer skills (e.g., Outlook, Excel, Word, Teams, proprietary software for which training will be provided); Accuracy and efficiency required. Excellent organizational, prioritization and multi–tasking skills. Knowledgeable of medical terminology. Excellent customer service skills required.
• Maintain Confidentiality of all data, including ensuring protection injured workers’ rights, Protected Health Information (PHI), employee, and operations data. Knowledgeable of injured worker’s rights and ensure an atmosphere which allows for the privacy, dignity, and well–being of that injured worker.
• Equipment/Machinery Used: Standard office equipment including phones, calculators, copiers, scanners, fax, laptop/PC, copiers, various computer programs, mailing equipment, etc.

Paradigm 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.
• We want our employees to engage with and give back to their communities in meaningful ways. 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.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at .

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster#LI-Remote