Referral Coordinator- Bayside

Profile

Description

Responsibilities

Why should you consider this opportunity?

We are looking for a Medical Referral Coordinator - level 1 to join our Conviva family. You will join a company:

With a national presence and 100 clinics

With an amazing growth story, sustained by an extraordinary innovation

In which you will be able to grow your career and develop your skills

Benefits:

We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, potential for yearly bonus, tuition reimbursement, paid vacation / sick time, paid holidays, work-life balance, growth, a positive culture and much more!

About Conviva:

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 Conviva, a wholly owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members 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 team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.

What will you be doing?

Summary of Duties: Scheduling and pre-registering patients for exams and procedures with specialists and providers outside of the primary care physician's office.

Job Functions:

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.

Generate referrals as requested by primary care physicians, scheduling of appointments, coordinate transportation and complete other duties as assigned.

What are we looking for?

Required Qualifications

High School Diploma

2 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population

Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook

Proficient with medical terminology

Experience with Electronic Medical Records

Excellent professional communication abilities, at all levels within the organization and with patients, at all times.

This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Preferred Qualifications

Bachelor's Degree in Healthcare or Business Administration

Bilingual English/Spanish

Knowledge of ICD 10 and CPT coding

Referral experience

Medical Assistant or Professional State Certifications related to healthcare

Ability to operate a multi-line telephone system.

Work Schedule:

Scheduled 40 hours

Monday to Friday 8AM-5PM

Schedule may change as per center needs

Additional Information:

Alert:

Conviva, 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.

Interview Format:

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

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone and you will provide recorded or text message responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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