Patient Intake & Care Coordinator (Hybrid)

Humana Inc; United States; Hybrid; USD 39,000 - 49,000; Full time

Job summary

Humana Inc. / OneHome is hiring a Customer Service Intake Specialist in Miramar, FL for a hybrid, full-time role. You will review referrals, verify demographics and insurance, and coordinate with clinicians and insurers to ensure smooth transitions into care.

You will contact patients, resolve intake issues, and maintain accurate records. English/Spanish bilingual candidates with 1+ year customer service experience are preferred.

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.

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 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.

Skills

Customer service

Bilingual English/Spanish

Tools

Microsoft Office

Wellsky/Kinnser

Job description

Humana Inc. / OneHome is hiring a Customer Service Intake Specialist in Miramar, FL for a hybrid, full-time role. You will review referrals, verify demographics and insurance, and coordinate with clinicians and insurers to ensure smooth transitions into care.

You will contact patients, resolve intake issues, and maintain accurate records. English/Spanish bilingual candidates with 1+ year customer service experience are preferred.