Referral Representative

Trinity Health; United States; Presencial; USD 25.000 - 34.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Retirement match

Paid time off

Tuition reimbursement

Life and AD&D insurance

Well-being program

Career growth opportunities

Descripción de la vacante

Trinity Health Of New England is hiring a Full-time Referrals Coordinator to support the referral process. You will work under the Referrals Supervisor, coordinating with clinical and customer service teams to ensure timely and accurate referrals and pre-authorizations.

The role emphasizes EPIC workflow, insurance pre-approvals, patient registration updates, and strong communication skills. Day shift with comprehensive benefits and opportunities for growth are provided.

Formación

• High Diploma or equivalent.
• Three years’ healthcare experience preferred.
• Experience in a medical office or billing department preferred.
• Medical terminology knowledge preferred.
• Proficiency with Microsoft Office products (Word, Excel, PowerPoint, Outlook).
• EPIC experience preferred.

Responsabilidades

• Process and maintain the electronic Epic Referrals Workqueue prescreening for completeness and urgency.
• Complete pre-authorization workflows as required.
• Contact insurance companies for prior approval requirements.
• Review and update patient registration for eligibility and PCP selection.
• Enter referrals into the system per protocols and provide feedback to ordering provider.
• Inform maintenance/ resource library of payor and provider information updates.
• Answer incoming calls to assist internal and external customers with referrals questions and issues.
• Perform other duties as assigned by Manager and Supervisor.

Conocimientos

Microsoft Office

EPIC experience

Medical terminology

Communication skills

Customer service

Educación

High Diploma or equivalent

Herramientas

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Descripción del empleo

Employment Type: Full time Shift: Day Shift Description:

Position Purpose: Working under the direction of the Referrals Supervisor, this position is responsible providing a variety of support services which are essential to the efficient operation of the organization’s referral process. Works closely with the clinical department staff as well customer service staff in the offices.

What you will do:

• 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

Minimum Qualifications:

High Diploma or equivalent Minimum of three (3) years’ experience in healthcare preferred. Experience within a medical office or billing department preferred. Medical terminology preferred. Knowledge of patient billing preferred. Proficiency with all Microsoft products (Word, Excel, Power Point and Outlook) required. EPIC experience preferred. Excellent organizational skills and ability to multi-task. Excellent oral and written communication skills. Ability to evaluate and manage multiple priorities and demonstrate follow-through.

Compensation and Benefits

At Trinity Health Of New England, we understand that the success of our organization is directly related to our hardworking, compassionate, and dedicated colleagues who contribute their time and skills to help transform healthcare. That's why we've compiled a competitive, comprehensive compensation and benefits package that offers our colleagues protection and peace of mind, both at home and at work.

Pay Range: $18.05 - $25.60 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our comprehensive benefits package includes:

• Medical, Dental, Prescription Drug and Vision Coverage
• Retirement Savings Program with Employer Match
• Time Off - may include Paid Time Off, Vacation, Sick Time, and Holidays
• Tuition Reimbursement and Professional Development Opportunities
• Basic and Supplemental Life and AD&D Insurance
• Well-being Initiative
• Career Growth and Advancement Opportunities within Trinity Health

Position Highlights and Benefits:

40 hours, Day shift Great benefits effective day 1! Competitive pay! Growth Opportunities! Inclusive Culture! We are a group of primary care providers, specialists and surgeons serving patients in Connecticut and western Massachusetts.

Part of Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year.

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services.

Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.