Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make a meaningful difference in the lives of the patients you serve.
The Referral Coordinator maintains high standards for quality and an exceptional patient experience in accordance with Concentra’s policies, procedures and applicable regulations. The Referral Coordinator processes referrals and authorizations and works closely with physicians, employers and payers to achieve a positive impact on patient outcomes.
ResponsibilitiesEssential Duties and Responsibilities
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 diagnostic, specialty and physical therapy referral requests by Concentra sites as defined by the marketObtains authorization for referrals and schedules appointments accordinglyEnsures that appropriate networks and Concentra Advanced Specialists are used when applicableProvides all necessary information (medical records, transcripts, etc.) to payerCommunicates with stakeholders - payer, employer, and patient - as appropriate and as per Service Package indicationsRecords all appropriate information via OA/CR module of OccuSource per Policy & ProcedureBuilds relationships with provider and payer communityHandles inbound and outbound calls according to the service guidelines of the departmentParticipates in quality assurance programs including case review and ongoing 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
Education Level: High School Diploma or GED
Job-Related Experience: Customarily has at least 1 year of experience
Job-Related Skills/Competencies
Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and FlexibilityAbility 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 professionalismThe 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, Word experience requiredAbility to communicate effectivelyExcellent time management skillsExcellent 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 environmentAttention to detailAbility 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 professionalismPhysical/Mental Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is continuously required to sit, talk and hear and utilize fingers for typing, flex or extend wrist to perform other job-related tasks. The employee is continuously required to use hands and fingers to feel, handle, or operate PC, office equipment and/or other equipment or tools; and reach, grasp or squeeze with hands and arms. While performing the duties of this job, the employee is occasionally required to stand, walk, reach (may involve overhead reaching), lift or carry up to 25 pounds, stoop, bend, kneel or squat. The ability to hear and understand with clarity and detect sound on a continuous basis, and have conversations with staff, patients, customers, management, etc. Normal or corrected vision to acceptable levels for common office work. It is necessary to view and type on computer screens for variable periods of time.
The mental demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. In this position, the employee may have imposed pressure on a routine and frequent basis to meet various deadlines, contact with people in stressful and unpredictable situations and to handle confidential and sensitive information and situations with care.
Additional Data 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 Discounts
This 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
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