Referral Management Coordinator - Full Time

Referral Management Coordinator
Corporate - Customer Service
Full Time
Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Do you want to use your problem solving skills and knowledge of customer service to help improve the health of America's workforce? At Concentra, we serve more than 500 medical centers and 130 onsite clinics nationwide. Concentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient, affordable, and caring manner. We do this by putting all customers first.
Position Summary 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.
Must be a current Texas Resident
Must remain a Texas Resident during the duration of employement within the Referral Department
Must be able and willing to travel to a local Concentra to complete new hire orientation
Reviews, processes and supports Specialist referral requests by Concentra sites as defined by the market
Ensures that appropriate networks and Concentra Advanced Specialists are used when applicable
Provides all necessary information such as medical records, prescriptions, etc. Records all appropriate information via OA/CR module of OccuSource per Concentra policy
Builds relationships with provider, employer and payor communities
Participates in quality assurance processes including but not limited to the audit program, case reviews and training sessions
High school diploma or GED equivalent
Customarily at least one year of demonstrated experience in medical environment - service delivery (referrals, claims, insurance, billing, etc.)
Proficiency with scheduling/insurance verification software
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 time management skills including the ability to multitask and prioritize in a fast-paced environment
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
Ability to handle special projects
Ability to handle multiple tasks, projects, duties, and priorities, when assigned

Additional Data
401(k) Retirement Plan with Employer Match

• Medical, Vision, Prescription, Telehealth, & Dental Plans
• Life & Disability Insurance
• Colleague Referral Bonus Program
• Tuition Reimbursement
• Dependent Care Spending Account
• This job requires access to confidential and critical information, requiring ongoing discretion and secure information management.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Concentra is an equal opportunity employer, including disability/veterans
Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.