Referral Specialist Job at Trinity Health At Home

Trinity Health At Home Westerville, OH 43081

Employment Type:

Part time

Shift:

Description:

Provide one-to-one, compassionate care and love your job

Mount Carmel Home Care provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and technology, we are growing and shaping the future of healthcare!

We have a pioneering care model with Home Care Connect, our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual Care Center RNs.

Referral Support Specialist- Remote- contingent

The Customer Care Center (C3 ) Referral Support Specialist role exists to support the HCCs (hospital- based liaisons) with referral entry and referral insurance verification. This role acts as data entry hospital support, located on site at a designated Trinity Regional Health Ministry (RHM) hospital. The RSS person is responsible for accepting, importing and entering referrals from our RHMs into HCHB. This role is also responsible for the insurance authorization for certain payers.

Your opportunity

  • Responsible for determining appropriateness of care, referral screening and acceptance based on THAH guidelines.
  • Responsible for accurate documentation in the EMR and manages the referral from start to finish ensuring minimum data set is obtained and verified .
  • Demonstrates high level computer skill so that the referral is transmitted in a timely manner to the appropriate agency contact for efficient scheduling.
  • Meets and exceeds the set productivity standards for referral management completion and demonstrates ownership for follow-up needed for referral management to ensure patients are seen within established guidelines.
  • Responsible for Trinity Health Living our Values, Organization Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior .
  • Documents all standard referral elements into HCHB responsible for navigating multiple applications and online systems.
  • Acts as the central liaison between the agency and the referral source regarding the referral process, and serves as a primary contact/liaison with customers and families.
  • The duties and responsibilities described are not a comprehensive list and additional tasks may be assigned from time to time, as the scope of the job may change as necessitated by business demands

Minimum qualifications

  • Associate's degree preferred, High School diploma required with equivalent 2-4 years industry experience.
  • Working knowledge of governmental reimbursement criteria. Knowledge of third party / managed care contracts related to THAH services preferred .
  • Microsoft computer skill set required. Experience with THAH current software platforms and applications preferred .
  • Able to consistently demonstrate commitment to the mission and organizational code of ethics, and exhibits Behaviors of Excellence.
  • Previous experience working in a healthcare environment, demonstrating computer literacy

About Mount Carmel Home Care

Mount Carmel Home Care is a member of Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are central Ohio's comprehensive, trusted provider of home care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work) and other home health services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!

Apply now!

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 .




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