Employment Type:

　　Full time

　　Shift:

　　Day Shift

　　Description:

　　Position Purpose : Working under the direction of the Referrals Supervisor, this position is responsible 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 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

　　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

　　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

　　We are a group of primary care providers, specialists and surgeons serving patients in Connecticut and western Massachusetts. Part of Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year.

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law.

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

　　Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

　　EOE including disability/veteran