Referral Coordinator - Remote Texas

Concentra; El Paso (TX); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

401(k) Retirement Plan with Employer M

Medical, Vision, Prescription, Telehe

Life & Disability Insurance

Paid Time Off & Extended Illness Days

Colleague Referral Bonus Program

Tuition Reimbursement

Commuter Benefits

Dependent Care Spending Account

Employee Discounts

Job summary

Concentra in Texas is seeking a Referral Management Coordinator to uphold a high patient experience by processing referrals and authorizations and coordinating with physicians, employers, and payors.

This role requires attention to detail, strong communication, HIPAA awareness, and proficiency with scheduling and verification software. You will build relationships with providers and payors and ensure timely processing.

Qualifications

• High school diploma or GED required.
• Associate Degree preferred.
• 1+ year of medical environment experience preferred.

Responsibilities

• Process referrals and authorizations for Concentra sites.
• Ensure timely completion of daily referral tasks and maintain quality patient experience.
• Communicate with payors, employers and physicians as needed.
• Maintain accurate information in OA/CR module per policy.
• Build relationships with provider, employer and payor communities.

Skills

Scheduling

Insurance knowledge

HIPAA/PHI compliance

Communication skills

Time management

Customer service

Attention to detail

Data entry

Problem solving

Education

High school diploma or GED

Associate degree

Tools

Scheduling software

Insurance verification software

Microsoft Excel

Microsoft Outlook

Microsoft Word

Job description

Overview

Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's 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 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 Summary

The 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.

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 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 preferred

Job-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 software

Job-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

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 Discounts

This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We w