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Referrals Representative (Prior Auth/Registration) - 40 Hours)

Company: Trinity-Health
Location: Springfield
Posted on: June 24, 2022

Job Description:

Employment Type:Full timeShift:Day ShiftDescription:Trinity Health Of New England Medical Group is looking for Referral Representatives to join our team of mission-driven healthcare innovators in our Bloomfield CT and Springfield MA locations.Our vision is to provide state-of-the-art healthcare to those within our local communities, creating a positive impact for each individual that walks through our doors.The referral representative is responsible for providing a variety of support services that are essential to the efficient operation of the specialty consultative and procedural based prior authorization process and scheduling.Works closely with medical group practices, hospital and ancillary departments both internally and externally ensuring care coordination and hospital capture for member services is followed through with optimal customer and member experience which allows a close the loop transition occurs.Top Reasons to Work at Trinity Health of New England:Great benefitsPatient-centric environmentCareer growth and advancement potentialDiverse and inclusive cultureYou Will Be Responsible For: Process Efficiency: Process all referrals or high-tech imaging prior authorizations received via the Web, telephone or appropriate payer specific paperworkWork efficiency: Ensure that members receive timely and courteous communications as to the completion of their internal and external referral, surgical pre-op testing, or prior authorization, and associated appointment specifics which include scheduling directly into MGPS provider schedulesExcellent Communicator: provide feedback regarding changes, trends and process to supervisor and Coordinator as appropriateTechnical Familiarity: Manage and maintain the electronic Epic referrals work queue, assigned scheduled orders reports and in basket order folders, prescreening for completeness of information, urgency, and other designated criteria.Regulation Familiarity: Adhere to all HIPAA privacy and security policies and practices. Report violations and incidents observed and cooperates in investigations as requested by managementRequirements: Education: High school diploma or equivalentExperience:Excellent keyboard skills. Requires proficiency in a Windows based computer environment. Accuracy and dependability. Excellent customer Service skills.Ability to pass drug screenings and background checksPreferred Skills:Experience: Experience within a medical office or billing department preferred. Patient scheduling and using EMR systems preferred. Medical terminology and knowledge of member billing.About Trinity Health Of New England: Trinity Health Of New England is an integrated health care delivery system that is comprised of world-class providers and facilities dedicated to full spectrum preventative, acute, and post-acute care. We aim to deliver top level care to increase our community's overall health at lower costs. While we serve nearly 3 million people, we are proud to be a part of a national system that focuses on putting our patients first and having the best colleagues to do so. Trinity Health Of New England benefits include health insurance, adoption assistance, tuition reimbursement, paid vacation, sick time, and professional advancement just to name a few. Employees can also take advantage of extra benefits specific to each hospital.Step up to your potential. Write your story and apply today! Trinity Health's Commitment to Diversity and Inclusion Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 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.Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Keywords: Trinity-Health, Springfield , Referrals Representative (Prior Auth/Registration) - 40 Hours), Other , Springfield, Missouri

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