Referral and Scheduling Coordinator

Conviva Care Solutions; Las Vegas (NV); On-site; USD 40,000 - 52,000; Full time

Job summary

CenterWell Senior Primary Care is seeking a Referral Coordinator to manage patient referrals, coordinate with care teams, and ensure timely access to specialty services. This role operates onsite in a clinical environment and reports to the Referral Supervisor.

The position requires healthcare experience in referral management, knowledge of medical terminology and insurance processes, and adherence to HIPAA guidelines.

Qualifications

• Experience in a healthcare setting in referral management or medical office administration.
• Knowledge of medical terminology, insurance processes, and EHR systems.
• Handle confidential information following HIPAA guidelines.

Responsibilities

• Process an average of 40 referrals per day with accuracy and timeliness.
• Handle an average of 65 calls per day while providing professional and efficient service.
• Verify patient, provider, and insurance information to ensure complete referral documentation.
• Communicate with physicians, specialists, and internal departments regarding referral status and requirements.
• Maintain accurate records and documentation within applicable systems.
• Ensure compliance with company policies, healthcare regulations, and established procedures.

Skills

Healthcare terminology

HIPAA compliance

EHR navigation

Referral management

Bilingual English/Spanish

Education

Bachelor's Degree in Healthcare or Business Administration

Tools

EHR systems

ICD-10 & CPT coding

Job description

Become a part of our caring community

The Referral Coordinator manages and facilitates patient referrals within a healthcare organization. You will process all referrals, allowing access to specialty care and services. The Referral Coordinator works with healthcare providers, patients, and external specialists to coordinate appointments, obtain necessary documentation, and track referral outcomes. Working onsite in a clinical environment and reporting to the Referral Supervisor.

As a Referral Coordinator you will perform tasks such as:

• Process an average of 40 referrals per day with accuracy and timeliness.
• Handle an average of 65 calls per day while providing professional and efficient service.
• Verify patient, provider, and insurance information to ensure complete referral documentation.
• Communicate with physicians, specialists, and internal departments regarding referral status and requirements.
• Maintain accurate records and documentation within applicable systems.
• Ensure compliance with company policies, healthcare regulations, and established procedures.

Use your skills to make an impact

Required Qualifications

• Experience in a healthcare setting in referral management or medical office administration.
• Knowledge of medical terminology, insurance processes, and EHR systems.
• Handle confidential information following HIPAA guidelines.
• We consider this role patient facing and runs the Tuberculosis (TB) screening program. If selected for this role, we will require you to screen for TB.

Preferred Qualifications

• Bachelor's Degree in Healthcare or Business Administration
• Knowledge of ICD 10 and CPT coding
• Bilingual in English and Spanish

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.

$40,000 - $52,300 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

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 is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer 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, r