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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.37.25/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\"><span style=\"font-size: 16px;\"><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.37.25/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"></span><div class=\"fr-view\"><div style=\"font-family:'Segoe UI';font-size:14px;font-style:normal;font-weight:400;line-height:20px;\" data-pasted=\"true\"><h3><span style=\"font-size: 16px;\"><strong><span style=\"font-family: 'times new roman',serif;\">Job Title:</span></strong><span style=\"font-family: 'times new roman',serif;\"> Referral Specialist</span></span></h3><h3><span style='font-size: 16px; font-family: \"times new roman\", serif;'><strong>Department:</strong> Clinic<br><strong>Position Type:</strong> <strong>Full Time</strong><br><strong>FLSA:</strong> <strong>Non-exempt</strong></span></h3><h3><span style='font-size: 16px; font-family: \"times new roman\", serif;'><strong>Job Summary:</strong></span></h3><p><span style='font-size: 16px; font-family: \"times new roman\", serif;'>Join us and be part of a mission-driven team that prioritizes innovation, collaboration, and continuous development. Under the direction of the Supervisor, Referrals, the Referrals Specialist serves as a primary interface between patients, providers, offices, medical facilities, and community agencies. This position coordinates outgoing and off-site referrals, including imaging orders, by assisting and advocating to ensure patients are appropriately notified and scheduled for services. The role also monitors and manages deferred referrals to ensure timely receipt of referral and order documentation for quality compliance.</span></p><h3><span style='font-size: 16px; font-family: \"times new roman\", serif;'><strong>Duties/Responsibilities:</strong></span></h3><ul><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Navigate and manage patient charts and clinical documentation within Epic EMR.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Coordinate referrals and imaging orders using Epic and insurance portals.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Verify eligibility and obtain prior authorizations/pre-certifications as needed.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Route/fax medical documentation electronically and retrieve reports via RHIO.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Track referral status and assist patients with scheduling appointments.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Follow up on missed referral/imaging appointments.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Communicate appointment details and preparation requirements to patients.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Collaborate with Care Managers and other departments to resolve barriers.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Ensure HIPAA compliance and maintain confidentiality of PHI.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Perform other duties as assigned.</li></ul><h3><span style='font-size: 16px; font-family: \"times new roman\", serif;'><strong>Required Skills/Abilities:</strong></span></h3><ul><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Proficiency in Epic EMR and Microsoft Office Suite.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Strong knowledge of medical terminology and HIPAA regulations.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Excellent customer service, organizational, and time management skills.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Ability to multi-task and problem-solve effectively.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Strong written and verbal communication skills; bilingual preferred.</li></ul><h3><span style='font-size: 16px; font-family: \"times new roman\", serif;'><strong>Education and Experience:</strong></span></h3><ul><li style='font-size: 16px; font-family: \"times new roman\", serif;'>High School Diploma or equivalent required.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Minimum 3 years in a medically based or human services setting.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>At least 2 years of EMR experience; Epic required.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Knowledge of insurance carriers, prior authorizations, and community resources.</li><li style='font-size: 16px; font-family: \"times new roman\", serif;'>Valid NYS Insurance Assister certificate preferred (or obtain within 6 months).</li></ul><h3><span style='font-size: 16px; font-family: \"times new roman\", serif;'><strong>Physical Requirements:</strong></span></h3><p><span style='font-size: 16px; font-family: \"times new roman\", serif;'>While performing the duties of this job, the employee is regularly required to sit, stand, walk, and communicate effectively. Occasional bending, lifting up to 25 pounds, and other physical activities may be required.</span></p><h3><span style='font-size: 16px; font-family: \"times new roman\", serif;'><strong>Equal Employment Opportunity:</strong></span></h3><p><span style='font-size: 16px; font-family: \"times new roman\", serif;'>Trillium Health promotes Equal Employment Opportunity for all, respecting diverse backgrounds, cultures, races, ages, experiences, and opinions. Employees must meet department performance standards and participate in compliance audits, process improvement, and quality improvement plans.</span></p></div></div></div></div></div></div></div></div></div></div></div>\n",
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