Job Description

Job Description

Job Description

We are looking for an Referral Coordinator (working title: Pre-Clinical Coordinator) to join our team! Are you someone who thrives in a fast-paced environment where your time management, attention-to-detail, and communication skills are put to good use? We might have the perfect entry/mid-level opportunity for you. Join our medically-based concierge service and early intervention program and help impact injured workers lives by coordinating services, providing resources to our constituencies, and helping people when they need it most.

In this job, you will:

• Manage and/or assign files to appropriate staff members and initiate appropriate verbal and/or written contacts with employers, clients, claimants, and medical providers.
• Set up files in all appropriate systems; assign files, when applicable, to the nurse
• Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally and/or in writing of any changes, delays, updates, or problems
• Maintain appropriate electronic and paper files
• Obtain authorization for medical release of information from the adjuster, as necessary, for records acquisition
• Interface with a variety of inter-disciplinary providers (e.g., PT, diagnostic, psychology, etc.)
• Identify, maintain, and update participating providers
• Utilize Share Point tool for evaluating case risk, and input all activities (including verbal and written discussions) into the Ultimate database and customer/client system
• Answer incoming calls, and direct the call appropriately
• Process all documents using computer, copier, and scanner
• Search and copy the appropriate internal criteria guidelines, when appropriate
• Screen all re-open files (subsequent URs) to determine duplicate requests, vs. an appeal request that is beyond the allotted timeframe, vs. a reconsideration, vs. a new UR
• Basic invoicing
• Continually improve job skills and knowledge of all company products and services as well as customer issues and needs, through ongoing training and self-directed research.
• Adhere to company policies, procedures, and reporting requirements.

Requirements

• Experience in any of the following disciplines a plus – CNA, Medical Assistant, Physical Therapy Aide, Workers’ Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager
• Experience with workers' compensation or disability (a plus!)
• Strong computer and internet skills (will work with programs including MS Word, Outlook, and Excel)
• Basic knowledge of/ability to read medical reports, or enthusiastic about learning medical terminology
• The ability to research evidence-based guidelines
• Proficient verbal/telephone and written communication skills
• A high level of efficiency, ability to maintain rapid workflow
• An aptitude for learning, organization skills and the ability to follow systems and procedures
• A time-management mindset, along with planning, and prioritization skills
• The ability to multi-task in a fast-paced environment
• The ability to work independently as well as part of a team
• The ability to express empathy with injured and/or disabled people
• Deductive reasoning and think outside the box for creative solutions
• Independent thinking & problem-solving experience
• A bachelor’s degree, or an Associate's/Certification with professional experience
• A customer service mindset

Benefits

• Hourly Rate: $19.00-22.00.
• Profit sharing, 401k matching, generous time off, and career growth opportunities
• A relaxed, yet upbeat, work environment, with a jeans professional dress code
• Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Rising Medical Solutions, Inc Profile (topworkplaces.com)
• We're on YouTube! Check out our culture at:
• Want to see more? Check out our:
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• LinkedIn: -medical-sol...
• Glassdoor: -at-Rising-Medical-Solutions- EI_IE322608.11,35.htm pages

If you are ready to join a team of professionals dedicated to making a difference and making lives better, please apply today!

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