Referrals Team Lead

3 weeks ago

Valencia, CA, United States Concentra Careers Full-time
OverviewPosition SummaryThe Referrals Team Lead 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.
ResponsibilitiesThe DetailsResponds timely to Referral Management Coordinator process and procedure inquiries and acts as the first line of guidance on case level issuesCreates and distributes the day's plan of action to the teamLeads daily huddles to deliver pertinent information to the teamCommunicates, monitors and boosts team morale by creating opportunities for team engagementProvides training and development of new hires along with one-on-one mentoring for all colleaguesReports colleague performance deficiencies to supervisor; providing appropriate supporting documentationPrepares response for all Specialist miscellaneous referral external inquiriesReviews Specialist Capture report for and ensures accuracy. Uses report to identify trends and reports opportunities to improve Specialist capture to leadership and CAS TeamObtains authorization for referrals and schedules appointments for priority or escalated referralsProvides coverage for other markets and centers upon requestRecords all appropriate information via OA/CR module of OccuSource per Concentra policyProvides all necessary information such as medical records, prescriptions, etc. to payerProvides special treatment and services for selected customersHandles calls according to the call guidelines of the departmentCommunicates with all stakeholders, payers, employers and patients as appropriateBuilds relationships with provider and payer communitiesParticipates in quality assurance processes including but not limited to the audit program, case reviews and training sessionsThis

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.
QualificationsEducation/credentialsAssociate's or Bachelor's degree preferredProficiency in Microsoft Office (Word, Excel, PowerPoint) and OutlookProficiency with scheduling / insurance verification softwareJob-related experienceMinimum of 1 year experience as a Referral Coordinator with Concentra or equivalentPrevious people management experience preferredJob-related skills/competenciesExcellent written and verbal communication skills with ability to communicate effectively with colleagues at all levels of the organizationMust display proper business etiquette and be skilled in the arts of diplomacy and tactExcellent time management skills including the ability to multitask and prioritize in a fast paced environmentAttention to detailAbility to give direction and build positive moraleExemplary decision making and problem solving skillsAbility to build and maintain productive business relationshipsWorking conditions/physical demandsOffice environmentThis position requires access to confidential and sensitive information, requiring ongoing discretion and secure information managementAdditional Data401(k) with Employer MatchMedical/Vision/Prescription/Dental PlansLife Insurance/DisabilityPaid Time OffColleague Referral Bonus ProgramThis position is eligible to earn a base compensation rate of $24.22hourly depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.
External candidates:submit your application on concentra.com/careersCurrent colleagues:visit the internal career portal on the main page of MyConcentra to applyConcentra is an Equal Opportunity Employer, including disability/veteransConcentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics:race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.