Trip Care Referral Assistant

Summary:

The Trip Care Referral Assistant is responsible for managing and coordinating patient referrals to ensure timely access to healthcare services. They work closely with healthcare providers, patients, and insurance companies to facilitate the referral process. The Trip Care Referral Assistant plays a vital role in supporting patient care by managing and coordinating the referral process. This position requires a detail-oriented professional who can efficiently handle a high volume of referrals, maintain accurate records, and provide excellent customer service to both patients and healthcare providers.

Essential Responsibilities:

• Referral Management: Process and coordinate all incoming referrals from healthcare providers, ensuring they are accurately documented and routed to the appropriate healthcare facilities or specialists.
• Communication: Serve as the primary point of contact for patients, healthcare providers, and insurance companies regarding referral status, required documentation, and any follow-up needed.
• Documentation: Maintain detailed and accurate records of all referral activities, including patient information, referral source, and communication history.
• Insurance Verification: Verify insurance eligibility and benefits for referred patients, ensuring all necessary authorizations and pre-certifications are obtained.
• Customer Service: Provide high-quality customer service by addressing patient and provider inquiries, resolving any issues related to referrals, and ensuring a smooth and efficient referral process.
• Coordination: Work closely with internal teams, such as case managers and transportation coordinators, to ensure patients receive timely and appropriate care.
• Compliance: Ensure all referral processes comply with company policies, HIPAA regulations, and other relevant healthcare laws and guidelines.
• Reporting: Prepare and maintain referral reports, tracking referral volume, processing times, and outcomes.
• Other duties as assigned.

Education/Experience:

• High school diploma or equivalent; some college coursework or a degree in healthcare administration or a related field is preferred.
• Prior experience in a healthcare setting, preferably in a referral coordinator or administrative role.
• Strong understanding of healthcare terminology, insurance processes, and HIPAA regulations.
• Excellent communication and interpersonal skills.
• Detail-oriented with strong organizational and multitasking abilities.
• Proficient in using healthcare management software, electronic health records (EHR), and Microsoft Office Suite.
• Ability to work independently and as part of a team in a fast-paced environment

Work Environment:

• This position typically involves working in an office setting with standard business hours.
• May require occasional overtime to meet deadlines or handle high referral volumes.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; talk and hear; and taste and smell. The employee frequently is required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee is occasionally required to sit and climb or balance. The employee must be able to lift and/or move up to 20 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Must be able to drive and operate a personal vehicle safely and adhere to all applicable state and traffic laws.