Referral Coordinator - Full Time

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POST DATE 9/15/2016
END DATE 10/28/2016

Concentra Inc. Plano, TX

Plano, TX
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Entry Level (0 - 2 years)
High School Diploma or GED


Referral Coordinator - Full Time
Job Id: 44775

From our Dallas corporate headquarters to our clinics and onsite locations, Concentra colleagues remain focused on our driving purpose: Improving the health of America s workforce, one patient at a time. Our commitment is that every patient is treated the Concentra Way: quality clinical care and a positive customer experience from welcoming, respectful and skillful colleagues. We do this by putting all customers first and by displaying:

* A healing focus

* A selfless heart

* A tireless resolve

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 works closely with physicians, employers and payors placing customer services as a top priority to achieve a positive impact on the cost and quality of care rendered to the injured employee.

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

* Other duties as assigned

Scope measures

* Directly responsible for meeting performance requirements and accurate completion of daily assignment

* Reports to Referrals Supervisor


* High School Diploma or equivalent required; Associates degree preferred

* Proficiency in Microsoft Office (Word, Excel, PowerPoint) and Outlook

* Proficiency with scheduling / insurance verification software

Job-related experience

* Minimum of 1 year experience in medical field - service delivery (referrals, claims, insurance, billing, etc.)

* Experience with Worker's Compensation preferred

Job-related skills/competencies

* Excellent written and oral communication skills with ability to communicate 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

* Attention to detail

* Exemplary decision making and problem solving skills

* Ability to build and maintain productive business relationships

Working conditions/physical demands

* Office environment

* This position requires access to confidential and sensitive information, requiring ongoing discretion and secure information management

Concentra's Data Protection Commitment
* Concentra Is committed to protect patient data and to ensure privacy of personal and medical information.
* Every Concentra colleague has the responsibility to adhere to data protection principles.
* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.