Healthcare Resource Specialist Referral Team full-time days HYBRID (Boise)

Trinity Health•Boise, ID

1d•$19•Hybrid

About The Position

Saint Alphonsus is seeking a Healthcare Resource Specialist to join its referral team. The role provides customer service to patients and facilitates transfers of care between primary care providers and specialists. The specialist collaborates with multiple clinics to coordinate and track referrals while accommodating physician preferences and patient needs in alignment with Saint Alphonsus values and mission. The work involves highly technical clerical tasks and use of multiple software platforms and electronic health record systems. The role focuses on accurately collecting patient information, communicating with patients, families, referring clinics, physician offices, and insurers, and supporting timely referral processing. Work is primarily conducted by phone in a non-clinic setting. The position is full-time, Monday through Friday during typical office hours. The in-office versus remote schedule depends on business needs and is determined by the Supervisor. Training lasts a minimum of six weeks and up to twelve weeks before independent work.

Requirements

High school diploma or equivalent.
Well-developed English verbal and written communication skills.
Computer skills, including Microsoft Office products and insurance site management.
Ability to work in multiple software applications and electronic health record systems simultaneously.
Ability to provide professional customer service and work effectively both independently and as part of a team.

Nice To Haves

Previous experience in a hospital, medical, or insurance office setting.
Working knowledge of medical terminology and the healthcare system, including insurance, Medicare, Medicaid, and physician office operations.
Epic software experience.

Responsibilities

Provide excellent customer service to patients, physicians, and staff and promote positive relationships.
Interact by phone with Saint Alphonsus patients and physician offices to process referrals effectively and efficiently.
Accurately and promptly enter referral information.
Communicate directly with patients and/or family members and referring clinics.
Track referrals and maintain appropriate documentation to ensure timely processing and patient safety.
Collect and validate patient information.
Contact insurance companies to confirm prior-approval requirements are met.
Inform patients and physician offices of referral status.
Maintain patient confidentiality according to HIPAA standards.
Work independently with minimal supervision and collaboratively with the team to solve problems, improve workflow, provide backup, and support a positive work atmosphere.
Demonstrate listening, independent problem-solving, decision-making, and critical-thinking skills.
Demonstrate the organization's mission, core values, and vision in behaviors, practices, policies, and decisions.