Bilingual [English and Spanish] Referral Coordinator - Variable Staffing Pool (Part-Time) Remote - Orlando/Kissimmee Florida

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 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.

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 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

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 [email protected] with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

32