Description
Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At CenterWell, a division of Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At CenterWell, we're seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.
The Referral Coordinator schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Responsibilities
CenterWell is seeking a hard-working and dedicated Bilingual Re ferral Coordinator, to prepare and process all managed care referral paperwork, schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office and who is interested in being part of a team that focuses on excellent service to others.
Job Functions:
This position is REMOTE-Work at Home
Prepares and processes all managed care referral paperwork.
Gathers pertinent information from physicians, nurse practitioners and nursing staff to complete referrals.
Contacts various offices/facilities to obtain necessary appointments for completing referrals.
Maintains referral records and files documentation.
Responds to patient inquiries regarding health plan referrals.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Required Qualifications
1-3 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population
Referral experience
Proficient with medical terminology
Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook
Experience with Electronic Medical Records
Excellent professional communication abilities, at all levels within the organization and with patients, at all times
Bilingual in English and Spanish
Preferred Qualifications
Bachelor's Degree in Healthcare or Business Administration
Knowledge of ICD 10 and CPT coding
Medical Assistant or Professional State Certifications related to healthcare
Working hours : Monday to Friday 8AM-5PM
Additional Information
Work-At-Home Requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information .
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters.
Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Alert:
CenterWell, is a subsidiary of Humana, values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ***** with instructions to add the information into the application at Humana's secure website.
Scheduled Weekly Hours
40
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources