Referral Scheduler in Tampa, Florida at Paradigm

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 hiring a Referral Scheduler for our Ortho Spine team in a fully remote, full-time position. You’ll help injured workers receive timely care by scheduling initial evaluations, verifying detailed claim information, and coordinating with providers, clients, and internal teams to advance referrals. Candidates must have strong attention to detail, excellent communication skills, and at least three years of customer service experience.

Responsibilities:

• Deliver exceptional verbal and written customer service while serving as a liaison for injured workers, clients, and providers.
• Schedule injured workers with our Ortho/Spine providers within client-guaranteed timeframes
• Provide timely scheduling updates to claims examiner, case manager, and other contacts on referral if applicable
• Obtain additional medical notes to assist with scheduling
• Demonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.
• Work closely with interdepartmental operations staff to effectively manage referrals.
• Uses experience and judgement to complete tasks with minimal supervision
• Good understanding of products and services
• Follow all regulatory requirements, policies, procedures, and best practices
• Understand & comply with all HIPAA & SOC2 requirements necessary in working with designated PHI.
• Perform additional support functions as needed.
• Maintain reliable and predictable attendance during scheduled work hours.
• Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines.
• Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management.

Qualifications:

• High School Diploma
• Minimum 3 years’ customer service experience (medical office experience a plus)
• Excellent customer service skills
• Excellent oral and email communication skills and phone presence
• Proficient in all Microsoft Office and computer application systems
• Ability to work independently
• Ability to multi-task
• Acute attention to detail
• Ability to work in multiple systems