Remote, USA Remote (Global)

Humana Inc. is hiring a Referrals Coordinator

About the Role

Coordinates patient referrals by working with providers and internal teams to ensure accurate documentation and timely processing.

Responsibilities

  • Process patient referrals in accordance with established guidelines
  • Collaborate with healthcare providers to gather necessary documentation
  • Verify insurance eligibility and coverage details
  • Ensure compliance with regulatory and internal policies
  • Track referral status and follow up on pending cases
  • Communicate updates to patients and care teams
  • Maintain accurate records in the case management system
  • Resolve issues related to incomplete or delayed referrals
  • Support timely access to specialized medical services
  • Coordinate with clinical staff to prioritize urgent cases
  • Assist in streamlining referral workflows
  • Respond to inquiries from providers and members
  • Monitor referral turnaround times
  • Escalate complex cases to appropriate team members
  • Participate in team meetings and training sessions

Compensation

Competitive salary and benefits package offered

Work Arrangement

Hybrid work model available

Team

Part of a healthcare services team focused on patient support and care coordination

Why This Role Matters

Helps ensure patients receive timely access to necessary care through accurate referral management.

What to Expect

  • Daily coordination with providers, patients, and internal teams to process referrals efficiently.
  • Use of secure systems to maintain patient confidentiality and data integrity.

Not available

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About company
Humana Inc.
CenterWell, a Humana company, creates experiences that put patients at the center. It is the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, focused on whole-person health. CenterWell Senior Primary Care provides proactive, preventive care to seniors.
All jobs at Humana Inc. Visit website
Job Details
Category other
Posted 6 months ago