Referral Coordinator

Concentra, Inc; Plano (TX); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a Referral Coordinator to enhance the health of America's workforce. In this pivotal role, you'll leverage your customer service expertise and problem-solving skills to ensure high-quality patient experiences. The position involves managing referrals, collaborating with healthcare professionals, and maintaining meticulous documentation. This remote opportunity is ideal for Texas residents who are passionate about improving healthcare delivery. Join a dedicated team focused on excellence and make a meaningful impact in the community.

Benefits

401(k) with employer match

Medical, vision, dental, and prescription plans

Life and disability insurance

Paid time off and sick leave

Referral bonuses

Tuition reimbursement

Commuter benefits

Dependent care accounts

Qualifications

• Experience in a medical environment (referrals, claims, insurance, billing).
• Proficiency with scheduling and insurance verification software.

Responsibilities

• Process referral requests and authorizations efficiently.
• Communicate with stakeholders, payors, employers, and patients.

Skills

Customer Service Excellence

Attention to Detail

Communication Skills

Problem-Solving Skills

Time Management

Flexibility

Education

High School Diploma or GED

Associate Degree

Tools

Scheduling Software

Insurance Verification Software

Microsoft Office

Job description

Referral Coordinator

Location: US-TX-Plano

Job ID: 327942

Category: Corporate - Customer Service

Type: Full Time

Overview

Please note that the salary range mentioned is provided by Indeed; the specific rate will be discussed during the interview process.

Are you interested in using your problem-solving skills and customer service knowledge to improve the health of America's workforce? Concentra operates over 500 medical centers and 130 onsite clinics nationwide. Our purpose is to provide outstanding patient experiences through high-quality, efficient, affordable, and caring healthcare, prioritizing our customers.

Responsibilities

Position Summary

The Referral Management Coordinator ensures high standards of quality and patient experience in line with Concentra's policies, procedures, and regulations. Responsibilities include processing referral requests and authorizations, collaborating with physicians, employers, and payors, with a focus on customer service to positively impact care quality and costs.

This position is remote for Texas residents only. Successful candidates must be willing to travel to a local Concentra office for orientation.

The Details

• Serve as the first point of escalation for case-related issues requiring guidance
• Complete daily patient referrals, meeting production targets
• Review, process, and support specialist referral requests
• Obtain authorizations and schedule appointments
• Use appropriate networks and specialists when applicable
• Provide necessary documentation to payors
• Communicate with stakeholders, payors, employers, and patients as needed
• Record information accurately in OA/CR module of OccuSource
• Build relationships within provider, employer, and payor communities
• Identify trends in missed captures and communicate opportunities for improvement
• Handle calls per departmental guidelines
• Participate in quality assurance activities

Qualifications

Education and Credentials

• High school diploma or GED; Associate Degree preferred

Experience

• At least one year of experience in a medical environment (referrals, claims, insurance, billing)
• Experience with Workers' Compensation is preferred
• Proficiency with scheduling and insurance verification software

This position is remote for Texas residents only. Candidates must be willing to travel for orientation.

Skills and Competencies

• Core competencies include service mentality, attention to detail, urgency, initiative, and flexibility
• Ability to handle sensitive information in compliance with laws and policies
• Proficiency in Microsoft Office applications
• Excellent communication and interpersonal skills
• Professional etiquette, tact, and diplomacy
• Strong time management and multitasking abilities
• Decision-making and problem-solving skills
• Customer service excellence
• Strong documentation skills
• Attention to detail and ability to work independently
• Capability to manage multiple projects and priorities

Additional Data

Employee Benefits

• 401(k) with employer match
• Medical, vision, dental, prescription, and telehealth plans
• Life and disability insurance
• Paid time off and sick leave
• Referral bonuses
• Tuition reimbursement
• Commuter benefits
• Dependent care accounts

We prioritize confidentiality and discretion. Reasonable accommodations are available for applicants with disabilities. Concentra is an equal opportunity employer, including veterans and individuals with disabilities.