Medical Referral Supervisor

Description du poste:

Become a part of our caring community

The Supervisor, Medical Referrals schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Supervisor, Medical Referrals operates according to detailed, established guidelines and procedures. You will apply independent judgment and analyze varying factors to resolve routine problems. Additionally, the Supervisor collaborates with management and top professionals/specialists in the selection of methods, techniques, and analytical approach. You will report to the Associate Operations Director.

The Supervisor, Medical Referrals gathers and communicates all relative information and preparation instructions to patient and referring providers. This position is responsible for decisions related to scheduling, planning, and daily operations. Perform escalated or more complex similar work and manage a group of typically support and technical associates; coordinates and provide daily oversight to associates. Ensure consistency in execution across team. Hold team members accountable for following established policies.

Use your skills to make an impact

Required Qualifications
* 3 plus years in a physician office, health care, or managed care environment
* Experience in ICD-9, ICD-10 and CPT coding
* Minimum of 2 year of management or supervisory experience
* Proficient with Microsoft Office products
* Valid driver's license and transportation necessary
* Excellent written and verbal communication skills, with strong analytical, organizational, and time management abilities.
* This role is considered to be in a patient facing environment and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications
* ICD-10 Certification
* Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA)
* CRC Certification through AAPC
* MRA and HEDIS knowledge

Location: We require regular travel to multiple offices within the Daytona, FL market
Hours: Monday - Friday 8am to 5pm

Alert
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.
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Scheduled Weekly Hours
40

Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.
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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment