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Referral and Scheduling Coordinator- CenterWell, Brownsville

Company: Humana
Location: Brownsville
Posted on: November 17, 2023

Job Description:

DescriptionCenterWell--- represents our payer-agnostic healthcare services for senior primary care, home health and pharmacy. Launched in spring 2021, CenterWell creates experiences that provide patients with ease, comprehensive care and a personal approach. By placing each patient at the center - focusing on their unique needs and personalizing the care we deliver to them - we can help them lead happier, healthier lives. CenterWell Senior Primary Care--- provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. It is part of Humana's Primary Care Organization, which is the nation's largest provider of value-based, senior-focused primary care. More about CenterWell Senior Primary Care:

  • More than 85 locations, which are part of the 235 senior primary care centers operated by Humana's Primary Care Organization
  • Integrated care teams that include physicians, nurse practitioners, medical assistants, medical coders and center administrators
  • Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs.The Referral Coordinator schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician s office. The Referral Coordinator performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.ResponsibilitiesThe Referral and Scheduling Coordinator gathers and communicates all relative information and preparation instructions to patient and referring providers. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.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.

    • 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
    • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
      Preferred Qualifications
      • Bilingual
      • Knowledge of ICD 10 and CPT coding
      • Referral experience

        Additional Information
        This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. -If selected for this role, you will be required to be screened for TB.
        AlertHumana and its subsidiaries value 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. - -Scheduled Weekly Hours40

Keywords: Humana, Brownsville , Referral and Scheduling Coordinator- CenterWell, Brownsville, Other , Brownsville, Texas

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