Referral Coordinator

Customer SupportCustomer SupportFull TimeRemote

Location

United States

Posted

12 days ago

Salary

Not specified

No structured requirement data.

Job Description

The Referral Management Coordinator maintains high standards for quality and an exceptional patient experience in accordance with Concentra’s policies, procedures and applicable regulations. Processes referrals requests and authorizations while working closely with physicians, employers, and payors. Customer service is a top priority to achieve a positive impact on the cost and quality of care rendered to injured employees. 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.

Job Requirements

  • High school diploma or GED equivalent.
  • Associated Degree from an accredited college preferred.
  • 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.
  • 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.

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.

Related Job Pages

More Customer Support Jobs

Online Travel Reservationist

Destination Knot

Destination Knot is a full-service travel planning company that provides clients with expertly curated vacation experiences. From luxury resorts and cruises to family getaways and romantic escapes, we specialize in simplifying the planning process and delivering exceptional service at every stage of the journey.

Customer Support13 days ago
Full TimeRemoteTeam 11-50

We are looking for a dependable and detail-oriented Online Reservationist to join our remote team. In this role, you will support clients by researching availability, managing travel bookings, and ensuring accuracy in all reservation details. This is an excellent opportunity for ...

United States

Property Claims Examiner II

Mercury Insurance Services

At Mercury, we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are one team with a common goal to help others. Everyone needs insurance and we can’t imagine a world without it. Our team will encourage you to grow, make time to have fun, and work together to make great things happen. We embrace the strengths and values of each team member. We believe in having diverse perspectives where everyone is included, to serve customers from all walks of life. We care about our people, and we mean it. We reward our talented professionals with a competitive salary, bonus potential, and a variety of benefits to help our team members reach their health, retirement, and professional goals. Learn more about us here: Mercury Insurance Careers Pay Range USD $32,363.00 - USD $56,701.00 /Yr.

Customer Support13 days ago
Full TimeRemote

If you’re passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury Insurance Property Claims team could be the place for you! Upon completion of the training program, ideal candidat...

United States

Customer Service Representative

Zotec Partners

We make a difference by simplifying the healthcare experience, for all of us, one person at a time.

Customer Support13 days ago
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

We’re seeking a Customer Service Representative to join us. This is a remote position. As a remote Customer Service Representative, you will have the opportunity to make a positive impact in patient lives every day, by answering their inbound calls and resolving their billing inq...

United States + 180 moreAll locations: United States, Canada, Brazil, Colombia, Argentina, Chile, Venezuela, Bolivarian Republic Of, Bolivia, Plurinational State Of, Ecuador, French Guiana, Guyana, Paraguay, Peru, Suriname, Uruguay, Mexico, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, Panama, Dominican Republic, Puerto Rico, Bahamas, Guadeloupe, Haiti, Jamaica, Martinique, Montserrat, United Kingdom, Germany, France, Estonia, Portugal, Hungary, Poland, Ukraine, Romania, Bulgaria, Czech Republic, Slovakia, Belarus, Moldova, Republic Of, Sweden, Greece, Belgium, Italy, Ireland, Switzerland, Netherlands, Finland, Malta, Denmark, Lithuania, Croatia, Spain, Austria, Bosnia And Herzegovina, Iceland, Luxembourg, Macedonia, The Former Yugoslav Republic Of, Montenegro, Norway, Serbia, Slovenia, Albania, Cyprus, Latvia, Monaco, South Africa, Egypt, Algeria, Angola, Benin, Botswana, Burkina Faso, Burundi, Cameroon, Cape Verde, Central African Republic, Chad, Congo, Côte D'ivoire, Congo, The Democratic Republic Of The, Equatorial Guinea, Eritrea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-bissau, Kenya, Lesotho, Liberia, Libyan Arab Jamahiriya, Madagascar, Malawi, Mali, Mauritania, Mauritius, Mayotte, Morocco, Mozambique, Namibia, Niger, Nigeria, Réunion, Rwanda, Senegal, Seychelles, Sierra Leone, Somalia, Sudan, Swaziland, Tanzania, United Republic Of, Togo, Tunisia, Uganda, Zambia, Zimbabwe, Georgia, Turkey, Israel, United Arab Emirates, Armenia, Azerbaijan, Bahrain, Iraq, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Palestinian Territory, Occupied, Yemen, India, Japan, Philippines, Pakistan, Thailand, Singapore, Viet Nam, Taiwan, Province Of China, Indonesia, Cambodia, Lao People's Democratic Republic, Malaysia, Myanmar, Korea, Republic Of, China, Afghanistan, Bangladesh, Bhutan, Kazakhstan, Kyrgyzstan, Maldives, Mongolia, Nepal, Sri Lanka, Tajikistan, Turkmenistan, Uzbekistan, Australia, Papua New Guinea, Kiribati, Palau, French Polynesia, Tuvalu, New Zealand
Part TimeRemote

This position may be performed remotely or in office, specifically providing phone support for Credit Union Members during non-traditional business hours. Essential Functions and Responsibilities: Personally provides exceptional member service; uses Service Standards in every wor...

United States