Healthcare Referral Specialist

1 day ago

New Orleans, Louisiana, United States CenterWell Home Health Full time
Job Title: Referral Coordinator

Become a part of our caring community and help us put health first at CenterWell Home Health.

Job Summary

We are 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.

Key Responsibilities
  • 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
  • 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.
  • Ability to work at the Conviva Care clinic located at: 4101 S. Carrollton Ave, New Orleans, LA 70119.
  • Ability to travel locally to assist other clinics in the area when needed.
Preferred Qualifications
  • Knowledge of ICD 10 and CPT coding.
  • Medical Referral experience.
  • Knowledge of multiple payor portals for processing.
  • Bilingual a plus (English/Spanish).
Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial securityboth today and in the future, including:

  • Health benefits effective day 1.
  • Paid time off, holidays, volunteer time and jury duty pay.
  • Recognition pay.
  • 401(k) retirement savings plan with employer match.
  • Tuition assistance.
  • Scholarships for eligible dependents.
  • Parental and caregiver leave.
  • Employee charity matching program.
  • Network Resource Groups (NRGs).
  • Career development opportunities.
About Us

CenterWell creates experiences that put patients at the center. As the nations largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

We proudly employ more than 30,000 clinicians who are committed to putting health first for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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 veteran status. 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.

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