Referral Specialist Orthopedics & Spine

Trinity Health; EE. UU.; Presencial; USD 27.000 - 38.000; Jornada completa

Descripción de la vacante

Trinity Health in the United States seeks a Patient Referral Coordinator to obtain insurance authorization, coordinate referrals, and maintain accurate data for the practice care team. You will work with providers, payors, and patients in a fast-paced office environment.

Based in Livonia, Michigan, the role emphasizes HIPAA/OSHA compliance, professional conduct, and quality patient experiences. A high school diploma and health care/office experience are helpful, with opportunities to contribute

Formación

• High School diploma or equivalent.
• Experience in an office environment and/or health care setting helpful.
• Knowledge of practice management computer systems (EPIC).
• Ability to work independently and as a team.
• Detail oriented and able to maintain confidentiality.

Responsabilidades

• Obtain insurance authorization from patient's insurance company.
• Coordinate patient referrals to specialists as requested by providers.
• Enter and maintain accurate data entry of all referrals into database.
• Verify all pertinent documentation has been provided for the type of referral requested.
• Present and ready for work in designated area and adhere to policies.
• Call patient with appointment information and document all stages of referral.
• Follow HIPAA and OSHA policies and participate in team huddles.

Conocimientos

EPIC

Independent work

Detail oriented

Teamwork

Multitask

Educación

High School diploma or equivalent

Herramientas

EPIC

Descripción del empleo

Employment Type: Full time Shift: Description:

Mission Statement

We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Vision

To be world-renowned for passionate patient care and outstanding clinical outcomes.

Core Values

In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Obtain insurance authorization from patient's insurance company. This may be done by phone, fax, or online depending on insurance company's process.
• Coordinate patient referrals to specialist as requested by providers.
• Enter and maintain accurate, comprehensive data entry of all referrals into database.
• Verify all pertinent documentation has been provided for the type of referral requested.
• Assemble information concerning patient's clinical background and referral needs.
• Per referral guidelines, provide appropriate clinical information to specialist.
• Call patient with appointment information.
• Document all stages of the referral in the appropriate data base or in writing.
• Demonstrate adaptability and accept change in a positive manner.
• Responsible to keep current with corporate communications such as email and internal network such as the Pulse, SJEN, etc.
• Present and ready for work in designated area at assigned time and dressed in appropriate work attire.
• Readily assist other staff members upon completion of assigned duties.
• Understand and adhere to all departmental policies and procedures.
• Responsible for completing and maintain all required training relative to job function.
• Exemplify a strong adherence to the professional code of conduct.
• Maintain a professional and positive attitude and demonstrate a supportive and understanding behavior when in contact with patients, providers, employees, and patients.
• Follow all policies and procedures mandated by St. Joseph's Physicians and the Government regarding HIPAA and OSHA.
• Abide by the policies and procedures set forth in the St. Joseph's Physicians employee handbook.
• Perform duties and assist providers as part of the practice care team.
• Take part in daily team huddles and/or other periodic team meetings to facilitate communications and enhance positive patient experiences and quality delivery of care.
• Participate in quality improvement initiatives as part of the practice care team.
• Insure job functions align with office policies and procedures and patient-centered medical home standards.
• Perform other duties and responsibilities as required or requested.

Knowledge, Skills and Abilities

• Knowledge of practice management computer systems (maybe name system i.e. EPIC)
• Demonstrated ability to work independently and as a team
• Knowledge of general office machines and telephone system
• Familiarity with identification of medical documents
• Ability to work well under pressure and within tight deadlines
• Ability to multitask and adapt to shifting priorities
• Maintain high degree of discretion when dealing with confidential information
• Detail oriented

Education and Experience

• High School diploma or equivalent.
• Experience in an office environment and/or health care setting helpful.

Physical Demands

• Sedentary work- majority of time sitting
• Repetitive motion of hands, fingers, and wrists

Category II - Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.

Pay Range: $19.50-$27.85 dependent on experience and location

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.