Referral Representative - Hybrid - Central Scheduling

Trinity Health

19h•Hybrid

About The Position

Working under the direction of the Referrals Supervisor, this position is responsible for providing a variety of support services which are essential to the efficient operation of the organization’s referral process. The role works closely with the clinical department staff as well as customer service staff in the offices. This position is part of Trinity Health Of New England, a group of primary care providers, specialists, and surgeons serving patients in Connecticut and western Massachusetts, offering primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation, with 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states.

Requirements

High Diploma or equivalent
Proficiency with all Microsoft products (Word, Excel, Power Point and Outlook) required.
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.

Nice To Haves

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.
EPIC experience preferred.

Responsibilities

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