Referral Coordinator- Jacksonville, Fl

Become a part of our caring community and help us put health first Conviva is seeking a candidate to join our Team as a Referral Coordinator who has experience working in a medical office and with managed care. The Referral Coordinator must be Bilingual in English and Spanish, must be organized with excellent time management, communication, and computer skills. The Referral Coordinator must have experience / knowledge of the referral process, be detail oriented, have the ability to multi-task, be able to process / complete referrals in a timely manner, and be passionate about contributing to an organization focused on continuously improving consumer experiences. If you possess these skills and are Become a part of our caring community and help us put health first Conviva is seeking a candidate to join our Team as a Referral Coordinator who has experience working in a medical office and with managed care.
The Referral Coordinator must be Bilingual in English and Spanish, must be organized with excellent time management, communication, and computer skills. The Referral Coordinator must have experience / knowledge of the referral process, be detail oriented, have the ability to multi-task, be able to process / complete referrals in a timely manner, and be passionate about contributing to an organization focused on continuously improving consumer experiences. If you possess these skills and are interested, we look forward to speaking with you. The Referral Coordinator mediates between patients, insurance companies, and medical care providers, keeping track of records and making sure all patient information is correct.
Job Functions Coordinate referral appointments. Verify patient insurance information. Gather and communicate all relative information and preparation instructions to patient and referring providers. Schedule and pre-register patients for exams/procedures with specialists/providers outside of the primary care physician's office.
Arrange transportation to outside appointments. Obtain referral authorizations via Health Portal. Maintain and update patient records. Scan and upload referral documentation into EMR system.
Balance administrative and patient service tasks to support quality care. Provide outstanding customer service. Use your skills to make an impact Required Qualifications Must have working experience and knowledge of Referral Process. Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook.
Knowledge of ICD 10 and CPT coding. Proficient with medical terminology. Excellent written and verbal communication skills. Knowledge of Health Plans Preferred Qualifications Must be Bilingual English (read, write & speak) and Spanish (speak).
Experience with Electronic Medical Records (EMR) system. Working Hours: Monday – Friday from 8:00am to 5:00pm Must reside in the Jacksonville metro area. Occasional travel to clinic will be required. 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. Benefits Being a part of the Conviva team gives you: We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more. Scheduled Weekly Hours 40 About us About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients’ well-being. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company.
Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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 because he or she is a protected veteran. 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.
This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Read more about this job