Referral Coordinator

Select Medical•Secaucus, NJ

1d•$23 - $28

About The Position

The Referrals Coordinator has primary responsibility to ensure colleagues understand and can apply the knowledge of departmental processes and serves as the first line resource for questions. This position works closely with physicians, employers and payers placing customer service as a top priority to achieve a positive impact on the cost and quality of care rendered to the injured employee, in accordance with Concentra policies, procedures and applicable regulations.

Requirements

Associate’s or Bachelor's degree preferred
Proficiency in Microsoft Office (Word, Excel, PowerPoint) and Outlook
Proficiency with scheduling / insurance verification software
Minimum of 1 year experience as a Referral Coordinator with Concentra or equivalent
Excellent written and verbal 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
Ability to give direction and build positive morale
Exemplary decision making and problem solving skills
Ability to build and maintain productive business relationships
This position requires access to confidential and sensitive information, requiring ongoing discretion and secure information management

Nice To Haves

Previous people management experience preferred

Responsibilities

Responds timely to Referral Management Coordinator process and procedure inquiries and acts as the first line of guidance on case level issues
Creates and distributes the day’s plan of action to the team
Leads daily huddles to deliver pertinent information to the team
Communicates, monitors and boosts team morale by creating opportunities for team engagement
Provides training and development of new hires along with one-on-one mentoring for all colleagues
Reports colleague performance deficiencies to supervisor; providing appropriate supporting documentation
Prepares response for all Specialist miscellaneous referral external inquiries
Reviews Specialist Capture report for and ensures accuracy. Uses report to identify trends and reports opportunities to improve Specialist capture to leadership and CAS Team
Obtains authorization for referrals and schedules appointments for priority or escalated referrals
Provides coverage for other markets and centers upon request
Records all appropriate information via OA/CR module of OccuSource per Concentra policy
Provides all necessary information such as medical records, prescriptions, etc. to payer
Provides special treatment and services for selected customers
Handles calls according to the call guidelines of the department
Communicates with all stakeholders, payers, employers and patients as appropriate
Builds relationships with provider and payer communities
Participates in quality assurance processes including but not limited to the audit program, case reviews and training sessions