Referral Coordinator - Healthcare Support (Day Shift)

IHA; Hartford (CT); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

40 hours/week

Day shift

Benefits day 1

Competitive pay

Growth opportunities

Inclusive culture

Job summary

Trinity Health Of New England is seeking a Full-time Referrals Support Specialist to manage the Epic Referrals Workqueue, pre-authorization workflows, and patient registration updates. You will coordinate with clinical and customer service teams to ensure accurate referrals and payer requirements are met.

The role emphasizes strong organization, multitasking, and clear communication, with primary duties in referral processing and provider feedback.

Qualifications

• High Diploma or equivalent.
• Minimum of three (3) years’ experience in healthcare preferred.
• Experience in a medical office or billing department preferred.
• Medical terminology preferred.
• Knowledge of patient billing preferred.

Responsibilities

• 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 to assist internal and external customers with referral-related questions, processes and problems.
• Other duties as assigned by Manager and Supervisor

Skills

Organizational skills

Multi-tasking

Communication skills

Follow-through

Education

High Diploma or equivalent

Tools

EPIC

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Job description

Trinity Health Of New England is seeking a Full-time Referrals Support Specialist to manage the Epic Referrals Workqueue, pre-authorization workflows, and patient registration updates. You will coordinate with clinical and customer service teams to ensure accurate referrals and payer requirements are met.

The role emphasizes strong organization, multitasking, and clear communication, with primary duties in referral processing and provider feedback.