Referral Coordinator – South Summerlin

Job Description

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 CenterWell, a division of Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates 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 associates fresh perspective, new insights, and exciting opportunities to grow their careers. At CenterWell, we’re seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

The Referral Coordinator gathers and communicates all relative information and preparation instructions to patient and referring providers. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Responsibilities

CenterWell is seeking a dedicated, compassionate, and experienced –  Referral Coordinator  – who is interested in growing with the company and being a part of something great!

Location:  CenterWell Senior Primary Care office located at 10180 W Tropicana Ave, Las Vegas, NV 89147

About CenterWell Senior Primary Care:
CenterWell Senior Primary Care, a subsidiary of Humana Inc., is Humana’s primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Arizona, Nevada, North Carolina, South Carolina, Georgia, Kentucky 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.

The Referral Coordinator will be responsible for daily activities to include:

Gathers and communicated all relative information and preparation instructions to patient and referring providers
Decisions regarding interpretation of area / department policy and methods for completing assignments
Prepares and processes all managed care referral paperwork
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 with adherence to all HIPPA guidelines / regulations
Required Qualifications

1 – 3 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population
Previous medical 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
Adhere to Humana’s current COVID vaccination policy
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 able to work at the clinic located at: 10180 W Tropicana Ave, Las Vegas, NV 89147
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
Bilingual in English and Spanish
Referral Coordinator Working hours:

Scheduled 40 hours per week

Monday to Friday 8AM-5PM

Local travel may be required; Mileage is reimbursed

Being a part of the CenterWell team gives you benefits that include:
We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, weeks of paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more.

Social Security Request Task Notification:  Humana values personal identity protection.  Please be aware that applicants selected for leader review may 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:

To enhance our hiring and decision-making ability. Modern Hire Text 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 text interview.  In this interview, you will read to a set of interview questions and you will provide text responses to each question. You should anticipate this interview to take about 15 minutes. Your text interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Language Proficiency Testing:

Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing. ​  Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Equal Employment Employer:

CenterWell Senior Primary Care is more than an equal opportunity employer, CenterWell’s  dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our CenterWell roles.  Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$34,500 – $47,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.