Referral Coordinator

Concentra•Secaucus, NJ

1d•$23 - $28•Onsite

About The Position

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.

Requirements

High School Diploma or GED
Customarily has at least 1 year of experience
Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
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
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 experience required
Ability to communicate effectively
Excellent time management skills
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
Attention to detail
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
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.
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 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.

Responsibilities

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 diagnostic, specialty and physical therapy referral requests by Concentra sites as defined by the market
Obtains authorization for referrals and schedules appointments accordingly
Ensures that appropriate networks and Concentra Advanced Specialists are used when applicable
Provides all necessary information (medical records, transcripts, etc.) to payer
Communicates with stakeholders - payer, employer, and patient - as appropriate and as per Service Package indications
Records all appropriate information via OA/CR module of OccuSource per Policy & Procedure
Builds relationships with provider and payer community
Handles inbound and outbound calls according to the service guidelines of the department
Participates in quality assurance programs including case review and ongoing training sessions