Referral Representative Orthopedics

Trinity Health•Waterbury, CT

1d•Onsite

About The Position

Trinity Health Of New England Medical Group is looking for a Referrals Representative to join their team. The Referrals Representative serves as a key member of the healthcare team, ensuring a seamless patient experience. Responsibilities include patient scheduling, registration, insurance verification, referral coordination, prior authorizations, collections, and providing clerical support to providers and staff. This role is instrumental in managing specialty referrals and ensuring efficient practice operations.

Requirements

High School Diploma or equivalent required
Minimum of two (2) years of experience in a medical office, healthcare scheduling, or billing environment required.
Proficiency with Microsoft Office and Windows-based applications.
Excellent communication, customer service, and organizational skills.
Strong attention to detail with the ability to multitask in a fast-paced environment.
Ability to work independently and collaboratively while maintaining professionalism under pressure.

Nice To Haves

additional coursework in medical or administrative fields preferred.
Previous experience with Epic EMR strongly preferred.
Knowledge of medical terminology, insurance verification, referrals, and patient billing preferred.

Responsibilities

Processes and maintains the electronic Epic Referrals Work queue prescreening for completeness of information, urgency, and other designated criteria.
Schedule patient appointments and coordinate complex specialty referral appointments.
Register patients and verify demographic and insurance information.
Obtain prior authorizations and pre-certifications as required.
Collect copays and reconcile daily cash transactions.
Document accurate patient information and communications in the medical record.
Schedule hospital procedures, testing, and specialty appointments according to established protocols.
Resolve patient concerns professionally and efficiently.
Cross-cover other practice functions as needed to support team operations.