Healthcare Referrals Specialist

Trinity Health Of New England; Hartford (CT); Sur place; USD 25 000 - 34 000; Plein temps

Avantages offerts par ce poste

Medical, Dental, Vision

Retirement Savings with Employer Match

Paid Time Off & Holidays

Tuition Reimbursement

Life Insurance

Well-being Initiative

Career Growth Opportunities

Résumé du poste

Trinity Health Of New England is hiring for a Full-time Referral Support position in Hartford, CT. The role collaborates with clinical and patient services to maintain referral workflows, including EPIC queue management and pre-authorizations.

Responsibilities include processing referrals, updating registrations for eligibility, and handling inquiries from internal and external customers. Strong Microsoft Office skills and healthcare experience are highly valued.

Qualifications

• High School diploma or equivalent.
• 3+ years healthcare office or billing experience preferred.
• Experience with medical terminology; knowledge of patient billing preferred.
• Proficiency in Word, Excel, PowerPoint, and Outlook.
• Strong organizational, verbal and written communication; ability to multitask.

Responsabilités

• Process and maintain the electronic Epic Referrals Workqueue prescreening for completeness of information, urgency, and other designated criteria.
• Completes pre-authorization workflows as required. Contact insurance companies to ensure prior approval requirements are met.
• Reviews and updates patient registration for membership eligibility and PCP selection.
• Enters referrals into the system per Trinity Health Of NE MGPS per protocols and provides feedback to ordering provider as needed.
• Informs maintenance analyst/resource library of payor, benefit-specific information and provider contact information updates accordingly
• Answers incoming phone calls as required to assist all internal and external customers by offering guidance and support for referral related questions, process and problems.
• Other duties as assigned by Manager and Supervisor

Connaissances

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

EPIC experience

Strong communication

Organizational skills

Formation

High School Diploma or equivalent

Outils

EPIC

Description du poste

Trinity Health Of New England is hiring for a Full-time Referral Support position in Hartford, CT. The role collaborates with clinical and patient services to maintain referral workflows, including EPIC queue management and pre-authorizations.

Responsibilities include processing referrals, updating registrations for eligibility, and handling inquiries from internal and external customers. Strong Microsoft Office skills and healthcare experience are highly valued.