Referral Coordinator - Conviva - Hialeah, FL

2 days left

Employer
Humana
Location
Hialeah, Florida
Salary
Not Specified
Posted
Feb 22, 2024
Closes
Apr 21, 2024
Ref
6827836#GIJtoGJS.1
Industry
Insurance
Category
Insurance
Workplace
In-Office
Become a part of our caring community and help us put health first

Conviva is a Subsidiary of Humana, seeking a hard-working and dedicated Referral 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.

Clinic Address: 3233 Palm Avenue, Hialeah, FL 33012

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.
Use your skills to make an impact

Required Qualifications

  • 1+ years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population.
  • Proficient with medical terminology
  • Experience with EMRs (Electronic Medical Records) / Medical Records
  • Must have the ability to travel locally to assist other clinics in the area when needed.

Preferred Qualifications

  • Knowledge of ICD 10 and CPT coding
  • Bilingual in English and Spanish
  • Medical Referral experience

Working hours: Monday to Friday 8AM-5PM

Additional Information

  • This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

  • Interview Format: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may 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

40

About us

About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

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