Jobs · Healthcare

Referral Coordinator - Remote Texas

Concentra · Corpus Christi, TX · 1 mo ago
HealthcareFull-time
We need to output HTML fragment with sections: About the role? The posting includes introductory paragraph about Concentra, purpose, etc. That could be "About the role" or maybe "About the role" is not explicit but we can treat the introductory prose as "About the role". The instructions: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Use
  • for any list of duties/requirements/benefits, and

    for prose. Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

    or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Prefer a few substantive sections over many thin ones. Output ONLY the HTML fragment — no /, no markdown code fences. We need to extract sections: About the role (intro), Responsibilities, Qualifications (Education/Credentials, Job-Related Experience), Skills (Job-Related Skills/Competencies), Benefits (Employee Benefits). Pay and Schedule not present, so omit. We must remove boilerplate: "Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process." That's about salary but not specific; we should remove because it's boilerplate? It's about salary but not actual salary; we should not create Pay section because no actual salary given. So we can drop that sentence. Also remove "Do you want to use your problem solving skills and knowledge of customer service to help improve the health of America's workforce?" That's part of intro but it's a question; we can keep as part of About the role? It's substantive? It's more of a marketing line; but we can keep as part of About the role. We need to preserve all substantive information. So we keep the description about Concentra, purpose, etc. We need to format sections with

    headings. Let's extract content: Intro paragraph: "Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. Do you want to use your problem solving skills and knowledge of customer service to help improve the health of America's workforce? At Concentra, we serve more than 500 medical centers and 130 onsite clinics nationwide. Concentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient, affordable, and caring manner. We do this by putting all customers first." We should drop the first sentence about Indeed salary as boilerplate. Keep the rest: "Do you want to use your problem solving skills and knowledge of customer service to help improve the health of America's workforce? At Concentra, we serve more than 500 medical centers and 130 onsite clinics nationwide. Concentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient, affordable, and caring manner. We do this by putting all customers first." That's About the role. Responsibilities: starts with "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 processes referrals requests and authorizations while working closely with physicians, employers and payors. Customer services is a top priority in order to achieve a positive impact on the cost and quality of care rendered to injured employees." Then bullet list: "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". Also note: "This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice." That's boilerplate; we should remove that sentence as it's generic. So we keep the bullet list. Qualifications: includes Education/Credentials: "High school diploma or GED equivalent Associated Degree from an accredited college preferred". That's two lines; we can treat as list. Job-Related Experience: "Customarily at least one year of demonstrated experience in medical environment - service delivery (referrals, claims, insurance, billing, etc.) Experience with Worker's Compensation preferred Proficiency with scheduling/insurance verification software". That's a list. We could combine Education/Credentials and Job-Related Experience under Qualifications heading, with sub-lists? The instruction: use
    • for any list of duties/requirements/benefits. So we can have a
        for qualifications items. Skills: "Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility 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 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 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 Excellent writing and documentation skills Strong attention to detail Ability to work independently Ability to handle special projects Ability to handle multiple tasks, projects, duties, and priorities, when assigned". That's a long list; we can break into
        • items. Benefits: "Employee Benefits 401(k) Retirement Plan with Employer Match Medical, Vision, Prescription, Telehealth, & Dental Plans Life & Disability Insurance Paid Time Off & Extended Illness Days Offered Colleague Referral Bonus Program Tuition Reimbursement Commuter Benefits Dependent Care Spending Account Employee Discounts". Also note: "This job requires access to confidential and critical information, requiring ongoing discretion and secure information management." That's not a benefit; it's a requirement; maybe we could include under Skills or Qualifications? It's about confidentiality; could be under Skills (ability to handle confidential info). We already have that in Skills. The sentence about requiring access to confidential info is more of a requirement; we could incorporate into Skills as "Ability to handle confidential and critical information with discretion and secure information management." But we already have "The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies." That covers it. So we can drop the duplicate. Also "We will ensure that individuals with disabilities are provided reasonable accommodation..." and EEO statements are boilerplate; remove. Thus final HTML:

          About the role

          Do you want to use your problem solving skills and knowledge of customer service to help improve the health of America's workforce? At Concentra, we serve more than 500 medical centers and 130 onsite clinics nationwide. Concentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient, affordable, and caring manner. We do this by putting all customers first.

          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 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

          Qualifications

          • High school diploma or GED equivalent
          • Associated Degree from an accredited college preferred
          • Customarily at least one year of demonstrated experience in medical environment - service delivery (referrals, claims, insurance, billing, etc.)
          • Experience with Worker's Compensation preferred
          • Proficiency with scheduling/insurance verification software

          Skills

          • Concentra Core Competencies: Service Mentality, Attention to Detail, Sense of Urgency, Initiative, Flexibility
          • 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
          • Excellent communication skills and ability to communicate (both written and orally) effectively with colleagues at all levels of the organization
          • Proper business etiquette and skilled in the arts of diplomacy and tact
          • Excellent time management skills including the ability to multitask and prioritize in a fast-paced environment
          • 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 and ability to deal with people in a manner showing tact and professionalism
          • Excellent writing and documentation skills
          • Strong attention to detail
          • Ability to work independently
          • Ability to handle special projects
          • Ability to handle multiple tasks, projects, duties, and priorities when assigned

          Benefits

          • 401(k) Retirement Plan with Employer Match

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