Referral Management Coordinator

This is a fully remote position, open to applicants in Texas.

📋 Description

• Uphold high standards of quality and ensure an exceptional patient experience in line with Concentra's policies, procedures, and relevant regulations.

• Manage referral requests and authorizations while collaborating with physicians, employers, and payors.

• Act as the primary point of escalation for case-related issues that require guidance.

• Complete assigned patient referrals on a daily basis while adhering to production requirements.

• Review, process, and assist with Specialist referral requests from Concentra locations.

• Secure authorization for Specialist referrals and arrange appointments.

• Ensure the appropriate networks and Concentra Advanced Specialists are utilized as needed.

• Provide necessary medical records, prescriptions, and other relevant information to payors.

• Communicate effectively with stakeholders, payors, employers, and patients as necessary.

• Document information in the OA/CR module of OccuSource in accordance with Concentra policy.

• Foster relationships within the provider, employer, and payor communities.

• Identify trends and opportunities related to missed captures and relay them to the Lead and Supervisor.

• Manage calls in accordance with department call guidelines.

• Engage in quality assurance activities, including audits, case reviews, and training sessions.

⛳️ Requirements

• Must be a current resident of Texas.

• Must maintain residency in Texas throughout the duration of employment within the Referral Department.

• Must be willing and able to travel to a local Concentra for new hire orientation.

• High school diploma or GED equivalent is required.

• A minimum of one year of proven experience in a medical setting, including service delivery such as referrals, claims, insurance, or billing, is necessary.

• Experience with Workers' Compensation is preferred.

• Proficient in scheduling and insurance verification software.

• Capability to handle sensitive and confidential information, including HIPAA and PHI, in compliance with federal and state laws as well as company policies.

• Familiar with Microsoft Excel, Outlook, and Word.

• Excellent written and verbal communication skills are essential.

• Demonstrates business etiquette, diplomacy, and tact.

• Strong time management, multitasking, and prioritization skills in a fast-paced environment.

• Ability to cultivate and sustain productive business relationships.

• Capable of making decisions and solving problems logically.

• Exceptional customer service skills and professionalism.

• Outstanding writing and documentation abilities.

• Keen attention to detail.

• Ability to work independently.

• Competent in managing special projects and multiple tasks, projects, duties, and priorities.

🏝️ Benefits

• 401(k) Retirement Plan with Employer Match.

• Comprehensive Medical, Vision, Prescription, Telehealth, and Dental Plans.

• Life and Disability Insurance.

• Paid Time Off and Extended Illness Days offered.

• Colleague Referral Bonus Program.

• Tuition Reimbursement.

• Commuter Benefits.

• Dependent Care Spending Account.

• Employee Discounts.

• Reasonable accommodations for individuals with disabilities.

• Commitment to equal opportunity employment.