Remote Care Management Coordinator

Humana; United States; Remote; USD 38.000 - 46.000; Teilzeit

Benefits dieser Stelle

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Company holidays

Parental leave

Disability insurance

Life insurance

Zusammenfassung

Humana seeks a part-time Care Management Support Assistant to provide non-clinical support for assessment and evaluation of members’ needs, guiding families to appropriate resources for care and wellbeing. The role performs administrative tasks, reviews referrals, verifies benefits, and coordinates care with providers while upholding HIPAA and confidentiality.

Requirements include 1–3 years in Home Health or Infusion Pharmacy, knowledge of Medicare/Medicaid, and experience with medical

Qualifikationen

• 1–3 years of Home Health or Infusion Pharmacy experience required.
• Knowledge of Medicare/Medicaid & commercial insurance required.
• Experience with medical authorizations required.
• Excellent customer service and communication skills.

Aufgaben

• Review inbound referrals and correspondence for processing, fulfilment or resolution.
• Screen physician orders and documentation for required information.
• Verify benefits coverage and eligibility for services.
• Provide referral management education to members and providers.
• Coordinate timely delivery of care and services with providers.

Kenntnisse

Home Health experience

Infusion Pharmacy experience

Medicare/Medicaid knowledge

Medical authorizations

Billing knowledge

Customer service

Communication skills

Microsoft Word

Microsoft Outlook

Microsoft Excel

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Jobbeschreibung

Humana seeks a part-time Care Management Support Assistant to provide non-clinical support for assessment and evaluation of members’ needs, guiding families to appropriate resources for care and wellbeing. The role performs administrative tasks, reviews referrals, verifies benefits, and coordinates care with providers while upholding HIPAA and confidentiality.

Requirements include 1–3 years in Home Health or Infusion Pharmacy, knowledge of Medicare/Medicaid, and experience with medical