DME Referral Care Coordinator

Paradigm • Tampa, FL

6d • $21 - $24 • Remote

About The Position

Paradigm is an accountable specialty care management organization focused on improving outcomes for people with complex injuries and diagnoses. The company provides risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

The DME Referral Care Coordinator supports a fast-paced, high-volume referral coordination team handling general durable medical equipment, such as wheelchairs, walkers, canes, crutches, and related supplies. The coordinator works with referral sources, injured workers or patients, and DME providers to arrange timely authorization, ordering, status updates, and delivery confirmation while maintaining accuracy, customer service, and compliance. Candidates must have hands-on familiarity with general DME and be comfortable managing multiple priorities in a production-driven environment.

This is a full-time, fully remote position scheduled Monday through Friday, 12:00 p.m.–8:30 p.m. Eastern Time. Duties may include weekend on-call work, for which compensation will be provided.

Requirements

• Some college credit and/or experience in a related discipline.
• At least one year of related experience, such as healthcare, DME, insurance, or physician practice.
• Hands-on familiarity with general durable medical equipment.
• Excellent verbal and written communication skills.
• Proficiency in reading, grammar, and mathematics.
• Strong computer skills, including Outlook, Excel, Word, Teams, and the ability to learn proprietary software.
• Accuracy and efficiency.
• Strong organizational, prioritization, and multitasking skills.
• Knowledge of medical terminology.
• Ability to maintain confidentiality and protect PHI and other sensitive information.
• Ability to comply with regulatory requirements, applicable laws and policies, and Quality Assurance initiatives.
• Ability to work professionally and cordially with co-workers and complete duties with minimal supervisory direction.
• Reliable and predictable attendance.

Responsibilities

• Receive DME referrals and communicate receipt and status to referral sources.
• Ensure written authorization from the payor source is obtained before equipment delivery.
• Provide updates to referral sources, providers, and injured workers, including confirmation of DME delivery.
• Coordinate with referral sources, injured workers, and DME providers to ensure appropriate equipment is delivered within the specified timeframe.
• Follow up promptly with injured workers and referral sources to support customer satisfaction.
• Provide accurate, timely pricing to the Billing Department to support accurate DME billing.
• Expand the current list of DME providers while seeking the best possible equipment pricing.
• Coordinate work tasks with internal teams to support smooth and efficient information flow.
• Respond to inquiries within required timeframes and established policy.
• Follow up appropriately with supervisors, co-workers, or residents regarding reported complaints, problems, and concerns.
• Support Paradigm’s mission, values, and vision through effective communication, positive role modeling, and excellent customer service.
• Comply with applicable regulatory requirements and Quality Assurance initiatives, and help maintain a work environment free from illegal or discriminatory behavior and harassment.
• Maintain reliable and predictable attendance during scheduled work hours.
• Protect confidential data, including injured workers’ rights, Protected Health Information (PHI), employee data, and operations data.
• Complete required training, maintain acceptable attendance and appropriate personal appearance, and cooperate professionally with co-workers.
• Plan, execute, and complete job duties with minimal supervisory direction, using sound judgment.

Benefits

• PPO, HDHP, and HMO health insurance options through Cigna; Kaiser options for California employees.
• 401(k) matching contributions.
• Employer-paid life and disability insurance.
• Flexible spending and commuter accounts.
• Employer-matched HSA contributions.
• Paid time off and personal holiday programs.
• One paid volunteer day per calendar year for full- and part-time employees.
• Learning and development support, including the Learning Excellence at Paradigm (LEAP) program.
• Compensation for weekend on-call duties, if assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed