Referral Coordinator

Referral Coordinator

CenterWell is 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.

Location: CenterWell Senior Primary Care office address: CW West Orange

Overview of Referral Coordinator Job Functions:

• This position is onsite
• 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

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

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 in English and Spanish

Working hours: Monday to Friday 8AM-5PM

Local travel may be required; Mileage is reimbursed

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.

Scheduled Weekly Hours: 40

Pay Range: $40,000 - $52,300 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

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.