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Bilingual Referral Coordinator
Bilingual Referral CoordinatorCenterwell • Mcallen, TX, US
Bilingual Referral Coordinator

Bilingual Referral Coordinator

Centerwell • Mcallen, TX, US
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Referral Coordinator

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.

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.

Required Qualifications

  • 2 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population
  • Experience with Payor Portals
  • 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 English / Spanish
  • Knowledge of ICD 10 and CPT coding
  • Referral experience
  • Medical Assistant or Professional State Certifications related to healthcare
  • Work Schedule : Full Time / 40 Hours / M-F / 8a-5p

    Specialty : Primary Care for Seniors

    Position Type : Clinic / On-site

    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.

    Benefits

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities
  • Alert : Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

    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 will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

    $38,000 - $45,800 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.

    About CenterWell Senior Primary Care : CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

    About CenterWell, a Humana company : CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE : HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

    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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.

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    Referral Coordinator • Mcallen, TX, US

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