Referral Management Coordinator
Company: Concentra
Location: Plano
Posted on: May 13, 2022
Job Description:
Overview:
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. -
Responsibilities:
Position SummaryThe 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.The Details
- 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
- This job description is not designed to cover or contain a
comprehensive listing of activities, duties or responsibilities
that are required of the employee for this job. Duties,
responsibilities and activities may change at any time with or
without notice. -
Qualifications:
Education/Credentials
- High school diploma or GED equivalent
- Associated Degree from an accredited college
preferredJob-Related Experience
- 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
softwareJob-Related Skills/Competencies
- 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
Additional Data:
Employee Benefits
- 401(k) Retirement Plan with Employer Match
- Medical, Vision, Prescription, Telehealth, & Dental Plans
- Life & Disability Insurance
- Paid Time Off & Extended Illness Days Offered
- Colleague Referral Bonus Program
- Tuition Reimbursement
- Commuter Benefits
- Dependent Care Spending Account
- Employee DiscountsThis 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. Please contact us to request accommodation. -Concentra
is an equal opportunity employer, including disability/veterans
-
Keywords: Concentra, Plano , Referral Management Coordinator, Executive , Plano, Texas
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