Referral Coordinator - Normandy

Profile

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 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.

Responsibilities

Conviva Care Solutions 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.

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.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.


Requirements


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
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


HS diploma or GED
Bilingual English/Spanish
Knowledge of ICD 10 and CPT coding
Medical Assistant or Professional State Certifications related to healthcare


Working hours : Monday to Friday 8AM-5PM

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 **** 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

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