Referral Coordinator
Customer SupportCustomer SupportFull TimeRemoteTeam 10,001
Location
United States
Posted
17 days ago
Salary
Not specified
No structured requirement data.
Job Description
The Referral Management Coordinator maintains high standards for quality and an exceptional patient experience in accordance with Concentra’s policies, procedures and applicable regulations. The Referral Management Coordinator processes referrals requests and authorizations while working closely with physicians, employers and payors. Customer services is a top priority in order to achieve a positive impact on the cost and quality of care rendered to injured employees.
First point of escalation for all case related issues requiring guidance
Responsible for daily completion of assigned patient referrals, while meeting production requirements
Reviews, processes and supports Specialist referral requests by Concentra sites as defined by the market
Obtains authorization for Specialist referrals and schedules appointments accordingly
Ensures that appropriate networks and Concentra Advanced Specialists are used when applicable
Provides all necessary information such as medical records, prescriptions, etc. to payor
Communicates with stakeholders, payor, employer, and patient as appropriate
Records all appropriate information via OA/CR module of OccuSource per Concentra policy
Builds relationships with provider, employer and payor communities
Identifies trends or patterns in missed capture and opportunities to gain capture; communicates these ideas and trends to Lead and Supervisor
Handles calls according to the call guidelines of the department
Participates in quality assurance processes including but not limited to the audit program, case reviews and training sessions
Job Requirements
- High school diploma or GED equivalent
- Associated Degree from an accredited college preferred
- Customarily at least one year of demonstrated experience in medical environment - service delivery (referrals, claims, insurance, billing, etc.)
- Experience with Worker's Compensation preferred
- Proficiency with scheduling/insurance verification software
- Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
- The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
- Familiarity with Microsoft Excel, Outlook, Word
- Excellent communication skills and ability to communicate (both written and orally) effectively with colleagues at all levels of the organization
- Must display proper business etiquette and be skilled in the arts of diplomacy and tact
- Excellent time management skills including the ability to multitask and prioritize in a fast-paced environment
- Ability to build and maintain productive business relationships
- Exemplary ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
- Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
- Excellent writing and documentation skills
- Strong attention to detail
- Ability to work independently
- Ability to handle special projects
- Ability to handle multiple tasks, projects, duties, and priorities, when assigned
- Must be a current Texas Resident
- Remote opportunity for Texas Residents
- Must remain a Texas Resident during the duration of employment within the Referral Department
- Must be able and willing to travel to a local Concentra to complete new hire orientation
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