Remote Intake Coordinator – Healthcare Referrals

CenterWell; Madison (WI); Remote; USD 39,000 - 49,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Parental and caregiver leave

Disability and life insurance

Job summary

Humana, Inc. is seeking an Intake Coordinator to manage referrals, screen patients for home care, and coordinate with clinical teams for service delivery. You will handle payer negotiations, document conversations, and support smooth transitions from referral to care.

This remote role requires strong organizational skills, experience in health care, and proficiency with Microsoft Office. Travel to Humana offices for training may be required occasionally.

Qualifications

• High School Diploma or equivalent.
• Typing speed 40 words per minute or higher.
• Proficiency with Microsoft Office applications including Word, Excel, Outlook, and Teams.
• 3 or more years in health care delivery or related business experience preferred.
• Knowledge of medical terminology preferred.
• Knowledge of insurance reimbursement process preferred.
• Data entry experience preferred.

Responsibilities

• Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine our ability to meet them.
• Record the outcome of calls either manually or in an automated manner, make follow-up calls, 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 (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 and communicate these conversations to branch and intake department staff.
• Work with Intake team, branch staff, and patients identifying solutions for payor source problems.
• Monitor and keep track of referral sources' satisfaction levels. Communicate customer service issues to up-line Intake and branch staff.

Skills

Typing 40 wpm

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Teams

Health care delivery

Medical terminology

Insurance reimbursement

Data entry

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Humana, Inc. is seeking an Intake Coordinator to manage referrals, screen patients for home care, and coordinate with clinical teams for service delivery. You will handle payer negotiations, document conversations, and support smooth transitions from referral to care.

This remote role requires strong organizational skills, experience in health care, and proficiency with Microsoft Office. Travel to Humana offices for training may be required occasionally.