The Referral and Scheduling Coordinator gathers and communicates all relative information and preparation instructions to patient and referring providers. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
Job Functions
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.
Requirements
2 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population
Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook
Proficient with medical terminology
Experience with Electronic Medical Records
Excellent professional communication abilities, at all levels within the organization and with patients, at all times
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Knowledge of ICD 10 and CPT coding
Bilingual English/Spanish
Referral experience
Additional Information
This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Alert
Humana and its subsidiaries value 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 Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.