Bilingual Referral Coordinator

Profile

Description

CenterWell Senior Primary Care, a subsidiary of Humana Inc., is a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

We have over 215 clinics nationwide and counting - come join us.

Responsibilities

CenterWell is seeking a hard-working and dedicated Bilingual Re ferral 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

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 Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com