Intake Coordinator

Humana; Boca Raton (FL); Híbrido; USD 39 000 - 49 000; Tempo integral

Resumo da oferta

Humana is seeking an Intake Coordinator to review referrals, verify patient information, and coordinate with RNs for SOC assessments in a hybrid schedule. You will verify benefits and obtain authorizations while serving as a liaison among patients, clinicians, referral sources, and internal teams.

The role emphasizes accuracy, CMS policy adherence, and exceptional customer service in a healthcare setting, with on-site commuting as needed.

Qualificações

• 1+ years of customer service experience.
• Experience with Microsoft Office Suite (Word, Outlook, Excel, and Teams).
• Competence in addressing and resolving issues that may arise during the intake process.
• Bilingual (English and Spanish speaker).
• Must be passionate about contributing to an organization focused on improving consumer experiences.

Responsabilidades

• Review incoming referrals and new cases to ensure accuracy and completeness.
• Contact patients to verify demographic, clinical, and insurance information following CMS policies and compliance standards.
• Assign cases to Registered Nurses for Start of Care (SOC) assessments and monitor progress to ensure documentation is submitted within required timeframes.
• Coordinate with insurance providers to verify benefits, confirm coverage, and obtain prior authorizations when needed.
• Serve as a liaison between patients, clinicians, referral sources, and internal departments to support smooth transitions into care.
• Track authorization statuses and follow up promptly to avoid delays in service.
• Maintain organized and accurate records for all incoming referrals, communications, and case assignments.
• Communicate promptly with clinical leadership regarding any barriers, missing documentation, or issues affecting case acceptance.
• Provide excellent customer service to patients, families, referral partners, and internal team members.

Conhecimentos

Customer service

MS Office

Issue resolution

Bilingual English/Spanish

Customer-focused

Ferramentas

Microsoft Word

Microsoft Outlook

Microsoft Excel

Microsoft Teams

Descrição da oferta de emprego

Become a part of our caring community

Job Description

Work Schedule

Full-time/40 Hours

Position Type

Hybrid

Branch Location

Miramar, FL

The Intake Coordinator reviews new cases and calls patients to verify demographic information following CMS policies. You will input cases in system after information is confirmed. You will assign cases to registered nurses for initial SOC assessment completion and assure submission of all documentation. You will coordinate with insurance providers to verify coverage and obtain necessary authorizations. You will report to the Home Health Intake Supervisor.

Key Responsibilities:

• Review incoming referrals and new cases to ensure accuracy and completeness.
• Contact patients to verify demographic, clinical, and insurance information following CMS policies and compliance standards.
• Assign cases to Registered Nurses for Start of Care (SOC) assessments and monitor progress to ensure documentation is submitted within required timeframes.
• Coordinate with insurance providers to verify benefits, confirm coverage, and obtain prior authorizations when needed.
• Serve as a liaison between patients, clinicians, referral sources, and internal departments to support smooth transitions into care.
• Track authorization statuses and follow up promptly to avoid delays in service.
• Maintain organized and accurate records for all incoming referrals, communications, and case assignments.
• Communicate promptly with clinical leadership regarding any barriers, missing documentation, or issues affecting case acceptance.
• Provide excellent customer service to patients, families, referral partners, and internal team members.

Use your skills to make an impact

Required Qualifications

• 1+ years of customer service experience
• Experience with Microsoft Office Suite (Word, Outlook, Excel, and Teams)
• Competence in addressing and resolving issues that may arise during the intake process.
• Bilingual (English and Spanish speaker)
• Must be passionate about contributing to an organization focused on improving consumer experiences

Preferred Qualifications

• Experience with Wellsky/Kinnser software.
• Previous work in healthcare environments such as hospitals, clinics, or home health agencies.
• Experience managing patient admissions, including collecting and verifying patient information.

Additional Information

• Schedule: Monday and Tuesday off. Wednesday and Thursday 11:30am-8:00pm, Friday 3:30-finish, Saturday and Sunday full 8 hour day.
• On-site requirement: Must be available to commute to branch if needed.

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.

$39,000 - $49,400 per year

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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients’ homes. OneHome’s patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.

About Humana

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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. 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.