Referral Management Coordinator - Remote Texas Only

Concentra•San Antonio, TX

14d•Remote

About The Position

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 role processes referral requests and authorizations while working closely with physicians, employers, and payors. Customer service is a top priority in supporting the cost and quality of care provided to injured employees. This remote position is limited to current Texas residents, who must remain Texas residents throughout their employment in the Referral Department. The employee must be able and willing to travel to a local Concentra location for new-hire orientation. The role requires discretion and secure handling of confidential and critical information.

Requirements

High school diploma or GED equivalent.
Customarily at least one year of demonstrated experience in a medical environment involving service delivery, such as referrals, claims, insurance, or billing.
Proficiency with scheduling and insurance verification software.
Demonstrated service mentality, attention to detail, sense of urgency, initiative, and flexibility.
Ability to handle sensitive and confidential information, including HIPAA and PHI, in accordance with applicable laws and company policies.
Familiarity with Microsoft Excel, Outlook, and Word.
Excellent written and oral communication skills with colleagues at all organizational levels.
Proper business etiquette and diplomacy and tact.
Excellent time management, multitasking, and prioritization skills in a fast-paced environment.
Ability to build and maintain productive business relationships.
Ability to make decisions and solve problems using logic to identify key facts, explore alternatives, and propose quality solutions.
Outstanding customer service skills and the ability to interact with people tactfully and professionally.
Excellent writing and documentation skills and strong attention to detail.
Ability to work independently and handle special projects as well as multiple tasks, projects, duties, and priorities.
Must be a current Texas resident and remain a Texas resident during employment in the Referral Department.
Must be able and willing to travel to a local Concentra location for new-hire orientation.

Nice To Haves

Associate degree from an accredited college.
Experience with Workers’ Compensation.

Responsibilities

Serve as the first point of escalation for case-related issues requiring guidance.
Complete assigned patient referrals daily while meeting production requirements.
Review, process, and support Specialist referral requests from Concentra sites as defined by the market.
Obtain authorization for Specialist referrals and schedule appointments accordingly.
Ensure appropriate networks and Concentra Advanced Specialists are used when applicable.
Provide payors with necessary information, including medical records and prescriptions.
Communicate with stakeholders, payors, employers, and patients as appropriate.
Record appropriate information in the OA/CR module of OccuSource in accordance with Concentra policy.
Build relationships with provider, employer, and payor communities.
Identify trends or patterns in missed capture and opportunities to gain capture, and communicate findings to the Lead and Supervisor.
Handle calls according to department call guidelines.
Participate in quality assurance activities, including the audit program, case reviews, and training sessions.