Remote Care Management Support Specialist

Humana, Inc.; Parma Heights (OH); Remote; USD 39.000 - 49.000; Vollzeit

Benefits dieser Stelle

Medical benefits

Dental benefits

401(k)

Zusammenfassung

Humana, Inc. is seeking a Care Management Support Assistant to assist in a post-acute care environment through non-clinical support and referral management.

The role focuses on reviewing referrals, verifying benefits, and coordinating care with providers while ensuring privacy and regulatory compliance. The position emphasizes strong customer service, professional communication, and accurate documentation across multiple departments.

Qualifikationen

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

Aufgaben

• Review inbound referrals and correspondence for processing, fulfilment or resolution.
• Perform verification of benefits coverage and eligibility for services.
• Coordinate timely delivery of care and services with providers.
• Maintain HIPAA and patient confidentiality in all communications.
• Collaborate with Pre-Authorization, Utilization Management, Billing, Pharmacy, and Home Care teams.

Kenntnisse

Home Health experience

Infusion Pharmacy experience

Wound care

Medicare/Medicaid knowledge

Customer service

Communication skills

Tools

Microsoft Office

Jobbeschreibung

Humana, Inc. is seeking a Care Management Support Assistant to assist in a post-acute care environment through non-clinical support and referral management.

The role focuses on reviewing referrals, verifying benefits, and coordinating care with providers while ensuring privacy and regulatory compliance. The position emphasizes strong customer service, professional communication, and accurate documentation across multiple departments.