Employment Type:

Full time

Shift:

Description:

The Referral Specialist works with patients requiring a referral, to ensure patient’s referral needs are

fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for

patients, to ensure timely reimbursement.

What you'll do:

Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with

physician(s), patients, and payers.

· Communicate detailed information and answers patients' questions regarding their health care

plan; provide answers to billing and insurance clarification questions.

· Set up appointments, coordinate clinic visits, and any special arrangements such as

transportation, interpreter services, specialty care, etc.

· Coordinate flow of information between medical clinic and referral authorization department to

secure a valid referral for clinic patient.

· Enter referrals, documents communications and action into the system, as appropriate.

· Notify physician(s) and patient when referral is denied, or if additional information is needed.

· Develop and maintain database of referral physician offices preferred by each physician within

the clinic.

· Assist Practice Manager with complaint resolution and solutions related to patient referrals.

· Perform other duties as assigned by the practice manager or physician.

Qualifications:

· High school diploma or equivalent required.

· 2 years of progressively responsible related experience in a healthcare environment required.

Benefits Start Day One!

• Medical Insurance with the option for Flexible Spending Accounts

• Dental Insurance

• Vision Insurance

• Basic Life and AD&D Insurance

• Supplemental Life Insurance

• Supplemental AD&D Insurance

• Dependent Life Insurance

• Short and Long-Term Disability/ Income Protection

• Time Off – regularly accrued PTO for full-time team members, 6 paid holidays, and additional personal days!

• Voluntary Benefits through Farmington

• Accident Insurance

• Auto/Home insurance

• Critical Illness Insurance

• Hospital Indemnity Insurance

• Identity/Theft Insurance

• Legal Services

• Pet Insurance

• Permanent Life Insurance

• Well-Being Resources

• Adoption Assistance

• Colleague Discounts through Perkspot

• Six free therapy sessions/coaching sessions per calendar year for Colleague and household members through Spring Health

• Student Loan Relief Services

• Tuition Reimbursement

• Weight Management Reimbursement Benefit

• Commuter Benefits

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