Referral Representative - Enfield Primary Care

Trinity Health Of New England; Enfield (CT); On-site; USD 25,000 - 35,000; Full time

Benefits offered by this job

Medical and dental coverage

Vision coverage

Retirement savings with employer match

Paid time off and holidays

Tuition reimbursement and professional

Life and AD&D insurance

Well-being program

Career growth opportunities

Job summary

Trinity Health Of New England is seeking a Referral Support Specialist to assist the referrals workflow under the direction of the Referrals Supervisor. The role collaborates with clinical and customer service teams to ensure efficient processing of referrals.

Responsibilities include managing the Epic Referrals Workqueue, handling pre-authorization communications, and maintaining accurate patient registration and provider details. Strong Microsoft Office and EPIC experience are preferred.

Qualifications

• Proficiency with Microsoft Office suite required.
• EPIC experience preferred.
• Excellent organizational and communication skills.
• Ability to manage multiple priorities and follow-through.

Responsibilities

• Process and maintain electronic Epic Referrals Workqueue prescreening for information completeness and urgency.
• Complete pre-authorization workflows; contact insurance for prior approvals.
• Review and update patient registration for eligibility and PCP selection.
• Enter referrals into system per protocols and provide feedback to ordering providers.
• Inform maintenance analyst of payor, benefit, and provider contact updates.
• Answer incoming calls to assist internal and external customers with referrals questions or problems.
• Perform other duties as assigned by Manager/Supervisor.

Skills

Organizational skills

Communication skills

Multi-tasking

Prioritization

Education

High school diploma or equivalent

Tools

EPIC

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Job description

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.