Referrals Coordinator

Humana

San Antonio, TX, USA Remote

Full time

Customer Service

Remote

Mar 14

Referrals Coordinator

Location: San Antonio, TX

Location Type: San Antonio Remote

Schedule: Full_time

Req: R-301648

If you are an existing CenterWell or Humana

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About this job

Description

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.

Responsibilities

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.

Role Responsibilities 

  • 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.

MAJENTA

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Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working outside of their homes. Learn how we are doing our part 

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