Become a part of our caring community and help us put health first
 

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 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

CenterWell is seeking a hard-working and dedicated Referral Coordinator - Remote VSP - Orlando, FL, 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-Orlando, FL
• 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

• 1-3 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population
• Referral experience is MANDATORY
• 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
• Bilingual English & Spanish

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. 

** PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF or Word format) **

Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Interview Format – HireVue

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

Language Proficiency Testing:

Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing. Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

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Travel: While this is a remote position, occasional travel to