Referral Representative - Hybrid - Central Scheduling
Trinity Health Of New England, Hartford, CT, United States
Employment Type
Full time
Shift
Day shift
Description
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. Works closely with the clinical department staff as well as customer service staff in the offices.
What You Will Do
Process and maintain the electronic Epic Referrals Workqueue prescreening for completeness of information, urgency, and other designated criteria
Complete pre-authorization workflows as required. 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 per Trinity Health Of NE MGPS per protocols and provide feedback to ordering provider as needed.
Inform maintenance analyst/resource library of payor, benefit specific information and provider contact information updates accordingly.
Answer 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
Minimum Qualifications
High Diploma or equivalent
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.
Proficiency with all Microsoft products (Word, Excel, Power Point and Outlook) required. EPIC experience preferred.
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.
Position Highlights and Benefits
Day shift
Great benefits effective day 1!
Competitive pay!
Growth opportunities!
Inclusive culture!
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.
#J-18808-Ljbffr
Full time
Shift
Day shift
Description
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. Works closely with the clinical department staff as well as customer service staff in the offices.
What You Will Do
Process and maintain the electronic Epic Referrals Workqueue prescreening for completeness of information, urgency, and other designated criteria
Complete pre-authorization workflows as required. 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 per Trinity Health Of NE MGPS per protocols and provide feedback to ordering provider as needed.
Inform maintenance analyst/resource library of payor, benefit specific information and provider contact information updates accordingly.
Answer 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
Minimum Qualifications
High Diploma or equivalent
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.
Proficiency with all Microsoft products (Word, Excel, Power Point and Outlook) required. EPIC experience preferred.
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.
Position Highlights and Benefits
Day shift
Great benefits effective day 1!
Competitive pay!
Growth opportunities!
Inclusive culture!
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.
#J-18808-Ljbffr