Referral Representative - Enfield Primary Care

Trinity Health•Enfield, CT

3d•$18 - $26

About The Position

The Referral Representative works under the direction of the Referrals Supervisor and provides support services essential to the efficient operation of the organization’s referral process. The role works closely with clinical department staff and customer service staff in the offices. The position is full-time, 40 hours per week, on the day shift.

Requirements

High school diploma or equivalent.
Proficiency with Microsoft products, including Word, Excel, PowerPoint, and Outlook.
Excellent organizational skills and ability to multitask.
Excellent oral and written communication skills.
Ability to evaluate and manage multiple priorities and demonstrate follow-through.

Nice To Haves

A minimum of three years of healthcare experience.
Experience within a medical office or billing department.
Knowledge of medical terminology.
Knowledge of patient billing.
EPIC experience.

Responsibilities

Process and maintain the electronic Epic Referrals Workqueue, prescreening referrals for completeness of information, urgency, and other designated criteria.
Complete pre-authorization workflows as required and contact insurance companies to ensure prior approval requirements are met.
Review and update patient registration for membership eligibility and PCP selection.
Enter referrals into the system according to Trinity Health Of NE MGPS protocols and provide feedback to ordering providers as needed.
Inform the maintenance analyst or resource library of payor- and benefit-specific information and update provider contact information as needed.
Answer incoming phone calls as required, assisting internal and external customers with referral-related questions, processes, and problems.
Perform other duties as assigned by the Manager and Supervisor.