Intake Coordinator Home Health Per Diem

Humana Inc; Portsmouth (VA); Remote; USD 39,000 - 50,000; Full time

Job summary

Join Humana Inc as an Intake Coordinator where you will assess patient needs through inbound calls and facilitate communication between referral sources and home care services. You will play a vital role in ensuring patients receive the appropriate care while also managing interactions with various payer sources. This position not only offers a competitive salary but also a comprehensive benefits package designed to support the well-being of you and your family from day one.

Benefits

Health benefits effective day 1

Paid time off, holidays, and jury duty pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Caregiver leave

Qualifications

• High School Diploma or equivalent required.
• Minimum of three years of healthcare delivery experience preferred.
• Strong knowledge of medical terminology is essential.

Responsibilities

• Handle incoming calls from patients and referral sources to determine needs.
• Record outcomes of calls and follow up as necessary.
• Perform initial telephone screening for home care service appropriateness.

Skills

Medical terminology

Customer service focus

Data entry

Oral communication

Written communication

Education

High School Diploma or equivalent

Job description

Become a part of our caring community and help us put health first

As anIntake Coordinator, you will:

• Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine the Company’s ability to meet them.

• Record the outcome of calls either manually or in an automated manner, make follow-up calls as necessary, and identify alternative community service resources when solutions are not available.

• Perform initial telephone screening to determine patients’ appropriateness for home care services with referral sources. Advise branch staff of patient acceptance and provide all relevant information to ensure patients’ smooth transition to home care.

• Contact referral sources to advise of referral status, and provide to the clinical team who will deliver the services requested.

• Identify potential payer sources, verify benefits with payer sources (as required by department organizational structure), negotiate rates and obtain initial authorizations and frequency of visits from case managers. Establish primary payers and document conversations with payer sources.

• Access national or regional account information, including the names of accounts and terms of the contracts as appropriate and communicate these conversations to branch and intake department staff as needed. Work with Intake team, branch staff, and patients to identify potential solutions as problems are identified with payer sources.

• Monitor and track referral sources’ satisfaction levels. Communicate customer service issues to up-line Intake and branch staff as appropriate.

Use your skills to make an impact

Required Experience/Skills:

• High School Diploma or equivalent

• Minimum of three years health care delivery or related business experience preferred

• Strong knowledge of medical terminology and a customer service focus preferred

• Knowledge of insurance reimbursement process preferred

• Effective data entry and word processing, problem-solving, human relations, and oral/written communications skills

Additional Information:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

• Satellite, cellular and microwave connection can be used only if approved by leadership.

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:

• Health benefits effective day 1

• Paid time off, holidays, and jury duty pay

• Recognition pay

• 401(k) retirement savings plan with employer match

• Tuition assistance

• Scholarships for eligible dependents

• Caregiver leave

• Employee charity matching program

• Network Resource Groups (NRGs)

• Career development opportunities

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1

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 benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.

About us

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.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. 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.