DME Referral Care 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 best outcomes for patients, payers, and providers.

About the role

We are seeking a full-time, fully remote DME Referral Care Coordinator to support a fast-paced, high-volume referral coordination team focused on general durable medical equipment (e.g., wheelchairs, walkers, canes, crutches, and related supplies). In this role, you’ll partner closely with referral sources, injured workers/patients, and DME providers to ensure timely authorization, ordering, status updates, and delivery confirmation—while maintaining accuracy, excellent customer service, and compliance. Candidates must have hands-on familiarity with general DME and be comfortable managing multiple priorities in a production-driven environment.

Schedule

Monday–Friday, 9:00 a.m.–5:30 p.m. Eastern Time.

Responsibilities

• Receive DME referrals, communicate status and receipt of DME to referral sources.
• Ensure written authorization from payor source prior to delivery of equipment.
• Provide updates to referral sources, provider, and injured worker as well as confirmation of DME delivery.
• Work closely with referral sources, injured workers, and DME providers to ensure appropriate DME 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 DME billing is accurate.
• Expand current list of DME 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.
• Respond 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 a 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.
• Duties may include taking call on weekends, for which compensation will be provided.
• Maintain reliable and predictable attendance during scheduled work hours.

Requirements

• Education/Training: Some college credit and/or experience in a related discipline.
• Experience: At least one (1) year of related experience (e.g., healthcare, DME, insurance, physician practice).
• 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.
• Maintain confidentiality of all data, including ensuring protection of injured workers’ rights, Protected Health Information (PHI), employee, and operations data.
• Compliance with all regulatory requirements, current laws, and policies which protect workers from harassment and all illegal and discriminatory behavior.
• Comply with applicable Quality Assurance initiatives.
• 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.

Equipment/Machinery Used

• Standard office equipment including phones, calculators, copiers, scanners, fax, laptop/PC, copiers, various computer programs, mailing equipment, etc.

Benefits

• Health and wellness: PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives: Competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• Vacation: Paid time off and personal holiday programs.
• Volunteer time: Full and part-time employees receive one paid day per calendar year to engage with and give back to their communities.
• Learning and development: Support for continual learning and growth, including the Learning Excellence at Paradigm (LEAP) program.