Overview
Please be advised if you are viewing this position on Indeed that the salary rate / range set forth herein was provided by Indeed. Concentras market specific rate / range will be provided during the interview process.
Do you want to use your problem solving skills and knowledge of customer service to help improve the health of Americas 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 Summary
The Referral Management Coordinator maintains high standards for quality and an exceptional patient experience in accordance with Concentras 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.
Physical Requirements :
- 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
The Details
First point of escalation for all case related issues requiring guidanceResponsible for daily completion of assigned patient referrals while meeting production requirementsReviews processes and supports Specialist referral requests by Concentra sites as defined by the marketObtains authorization for Specialist referrals and schedules appointments accordinglyEnsures that appropriate networks and Concentra Advanced Specialists are used when applicableProvides all necessary information such as medical records prescriptions etc. to payorCommunicates with stakeholders payor employer and patient as appropriateRecords all appropriate information via OA / CR module of OccuSource per Concentra policyBuilds relationships with provider employer and payor communitiesIdentifies trends or patterns in missed capture and opportunities to gain capture; communicates these ideas and trends to Lead and SupervisorHandles calls according to the call guidelines of the departmentParticipates in quality assurance processes including but not limited to the audit program case reviews and training sessionsThis 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 equivalentAssociated Degree from an accredited college preferredPhysical Requirements :
Must be a current Texas ResidentMust remain a Texas Resident during the duration of employement within the Referral DepartmentMust be able and willing to travel to a local Concentra to complete new hire orientationJob-Related Experience
Customarily at least one year of demonstrated experience in medical environment - service delivery (referrals claims insurance billing etc.)Experience with Workers Compensation preferredProficiency with scheduling / insurance verification softwareJob-Related Skills / Competencies
Concentra Core Competencies of Service Mentality Attention to Detail Sense of Urgency Initiative and FlexibilityThe ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policiesFamiliarity with Microsoft Excel Outlook WordExcellent communication skills and ability to communicate (both written and orally) effectively with colleagues at all levels of the organizationMust display proper business etiquette and be skilled in the arts of diplomacy and tactExcellent time management skills including the ability to multitask and prioritize in a fast-paced environmentAbility to build and maintain productive business relationshipsExemplary ability to make decisions or solve problems by using logic to identify key facts explore alternatives and propose quality solutionsOutstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalismExcellent writing and documentation skillsStrong attention to detailAbility to work independentlyAbility to handle special projectsAbility to handle multiple tasks projects duties and priorities when assignedAdditional Data
Employee Benefits
401(k) Retirement Plan with Employer MatchMedical Vision Prescription Telehealth & Dental PlansLife & Disability InsurancePaid Time Off & Extended Illness Days OfferedColleague Referral Bonus ProgramTuition ReimbursementCommuter BenefitsDependent Care Spending AccountEmployee 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
Required Experience :
IC
Key Skills
Corporate Risk Management,Electronics,Infection Control,Bakery,ELV,Accident Investigation
Employment Type : Unclear
Experience : years
Vacancy : 1