Referral Coordinator

Job Description

Job Description

We are looking for an Referral Coordinator (working title : Pre-Clinical Coordinator) to join our team! Are you someone who thrives in a fast-paced environment where your time management, attention-to-detail, and communication skills are put to good use? We might have the perfect entry / mid-level opportunity for you. Join our medically-based concierge service and early intervention program and help impact injured workers lives by coordinating services, providing resources to our constituencies, and helping people when they need it most.

In this job, you will :

• Manage and / or assign files to appropriate staff members and initiate appropriate verbal and / or written contacts with employers, clients, claimants, and medical providers.
• Set up files in all appropriate systems; assign files, when applicable, to the nurse
• Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally and / or in writing of any changes, delays, updates, or problems
• Maintain appropriate electronic and paper files
• Obtain authorization for medical release of information from the adjuster, as necessary, for records acquisition
• Interface with a variety of inter-disciplinary providers (e.g., PT, diagnostic, psychology, etc.)
• Identify, maintain, and update participating providers
• Utilize Share Point tool for evaluating case risk, and input all activities (including verbal and written discussions) into the Ultimate database and customer / client system
• Answer incoming calls, and direct the call appropriately
• Process all documents using computer, copier, and scanner
• Search and copy the appropriate internal criteria guidelines, when appropriate
• Screen all re-open files (subsequent URs) to determine duplicate requests, vs. an appeal request that is beyond the allotted timeframe, vs. a reconsideration, vs. a new UR
• Basic invoicing
• Continually improve job skills and knowledge of all company products and services as well as customer issues and needs, through ongoing training and self-directed research.
• Adhere to company policies, procedures, and reporting requirements.

Requirements

Benefits

If you are ready to join a team of professionals dedicated to making a difference and making lives better, please apply today!