Location: San Antonio, TX
Location Type: San Antonio Remote
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About this job
The Referrals Coordinator 2 processes referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
The Referrals Coordinator 2 includes data entry into medical management system, assigning an appropriate provider, reviewing for benefits, and/or medical necessity as required or pending to a nurse or supervisor who can complete or request additional information.
- Recognizes a sensitive diagnosis and/or referral requiring Case Management, and pend to appropriate point of contact for review.
- Understands TRICARE benefits/limitations and Humana Military referral processes,
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I chose to work at Humana because I heard a lot of great things about the company. It’s a very accommodating place and I enjoy working here.
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