Orthotics Referral Care Coordinator

Company Overview
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 are proud to be recognized—again—for the fourth year in a row by Great Place to Work® and for the third consecutive year, for the 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.

Position Summary
We are seeking a full‑time remote Orthotics Referral Care Coordinator. The primary responsibilities include providing information on orthotics to staff, referral sources, and injured workers. The position works closely with referral source, injured worker and orthotics provider to coordinate smooth acquisition and delivery of product in a timely fashion.

Hours: Monday through Friday, 9:00 a.m.–5:30 p.m. ET.

Responsibilities

Receive referrals, communicate status and receipt of referral sources, and ensure written authorization from payor source prior to delivery of equipment. Provide updates to referral sources, provider, and injured worker and confirm orthotics delivery. Work closely with referral sources, injured workers and orthotics providers to ensure appropriate orthotics is delivered in a specified timeframe. Follow up with injured workers and referral sources in a timely manner to ensure customer satisfaction.

Provide accurate, timely pricing to the Billing Department to ensure billing is accurate. Expand current list of providers, mindful to secure best possible pricing for equipment.

Coordinate specific work tasks with internal teams as needed to ensure smooth and efficient flow of information. 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.

Positively support the mission, values, and vision of Paradigm Corp. 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 confidentiality of all data, including ensuring protection injured workers’ rights, Protected Health Information (PHI), employee, and operations data.

Complete requirements for required training, demonstrate acceptable attendance, and appropriate personal appearance.

Cooperate and work well together with all co‑workers, ensuring all communication is professional and cordial; plan, execute and complete job duties with minimal supervisory direction, utilizing appropriate sound judgment.

Qualifications

Education/Training: Some college credit and/or experience in a related discipline.

Bilingual Spanish preferred.

Attention to detail a MUST.

Previous Workers’ Compensation experience strongly preferred.

Previous DME and Customer Service experience in a call center preferred.

Experience: At least one year of related experience in healthcare and orthotics.

Excellent communication skills, verbal and written; proficient in reading, grammar, and mathematics. Strong computer skills (e.g., Outlook, Excel, Word, Teams, proprietary software). Accuracy and efficiency required. Excellent organizational, prioritization and multi‑tasking skills. Knowledgeable of medical terminology.

Benefits

Health and wellness – 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).

Financial incentives – Competitive salaries, 401(k) matching, employer‑paid life and disability insurance, flexible spending and commuter accounts, and employer‑matched HSA contributions.

Vacation – Paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.

Volunteer time – Full and part‑time employees receive one paid day per calendar year to give back to their communities.

Learning and development – A new Learning Excellence at Paradigm (LEAP) program supports continuous learning and growth.

EEO Statement
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 leave.management@paradigmcorp.com.

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.

#J-18808-Ljbffr