Referral Coordinator

Overview

Concentra, a leading provider serving over 500 medical centers and 130 onsite clinics nationwide, is dedicated to delivering exceptional patient care efficiently and compassionately. We're looking for a Referral Coordinator to join our team remotely in Texas, playing a key role in managing referral requests and facilitating authorizations, prioritizing excellent customer service while adhering to company policies and regulations.

Key Responsibilities

• Act as the primary escalation point for case-related issues needing guidance.
• Efficiently process assigned patient referrals daily, meeting production targets.
• Review and manage Specialist referral requests from Concentra sites as per market guidelines.
• Obtain necessary authorizations for Specialist referrals and coordinate scheduling of appointments.
• Ensure referrals utilize appropriate networks and advanced Concentra Specialists when applicable.
• Provide payors with relevant documentation such as medical records and prescriptions.
• Maintain communication with payors, employers, patients, and other stakeholders as necessary.
• Accurately document all required information using OccuSource’s OA/CR module according to company policies.
• Foster and maintain relationships with providers, employers, and payor communities.
• Identify and report trends or missed opportunities to team leads and supervisors.
• Follow departmental call handling procedures and participate in quality assurance activities including audits, case reviews, and training.

Qualifications and Experience

• Must be a resident of Texas and remain so throughout employment in the Referral Department.
• High school diploma or GED required; associate degree preferred.
• At least one year of relevant medical environment experience involving referrals, claims, insurance, or billing.
• Experience with Worker's Compensation is a plus.
• Proficiency with scheduling and insurance verification software.
• Strong familiarity with Microsoft Excel, Outlook, and Word.
• Adherence to confidentiality standards including HIPAA and PHI compliance.

Skills and Competencies

• Exceptional customer service and communication skills, both verbal and written.
• Ability to manage sensitive information with discretion and professionalism.
• Excellent time management, multitasking, and prioritization in fast-paced environments.
• Strong business etiquette, diplomacy, and tact.
• Independent worker with good problem-solving and decision-making capabilities.
• Keen attention to detail and ability to handle special projects alongside daily tasks.

Additional Information

• Applicants must be able and willing to travel locally to a Concentra facility for new hire orientation.
• The job description may evolve over time and subject to change without notice.
• Position requires ongoing discretion and secure management of critical and confidential information.

Employee Benefits

• 401(k) retirement plan with employer match.
• Medical, vision, prescription, telehealth, and dental insurance options.
• Life and disability insurance coverage.
• Paid time off and extended illness days.
• Colleague referral bonus program and tuition reimbursement.
• Commuter benefits and dependent care spending accounts.
• Employee discounts.

Equal Opportunity and Accommodation

Concentra is committed to providing reasonable accommodations for individuals with disabilities throughout the hiring process and employment. The company prohibits discrimination based on various protected characteristics including race, color, gender, age, disability, and more, ensuring equal employment opportunities for all.