Referral Coordinator

Welcome to Humana, a leading healthcare company dedicated to helping our members achieve their best health. We are currently looking for a highly motivated and detail-oriented Referral Coordinator to join our team. As a Referral Coordinator, you will play a crucial role in ensuring our members receive timely and appropriate referrals for their healthcare needs. We are looking for individuals who are passionate about providing exceptional customer service and have a strong understanding of healthcare policies and procedures. If you are looking for a rewarding career in the healthcare industry, we encourage you to apply for this exciting opportunity at Humana.

1. Manage referral requests: The Referral Coordinator will be responsible for receiving and processing referral requests from members, healthcare providers, and internal teams.
2. Verify eligibility: It is the responsibility of the Referral Coordinator to verify the eligibility of members for referrals and ensure that all necessary information is provided.
3. Coordinate with healthcare providers: The Referral Coordinator will communicate with healthcare providers to obtain necessary information and ensure timely processing of referrals.
4. Ensure accuracy and completeness: The Referral Coordinator will review all referral requests for accuracy and completeness, making sure that all necessary information is included.
5. Follow company policies and procedures: The Referral Coordinator must have a thorough understanding of company policies and procedures related to referrals, and ensure that all processes are followed accordingly.
6. Maintain records: The Referral Coordinator will maintain accurate and up-to-date records of all referral requests, approvals, and denials.
7. Provide exceptional customer service: As a representative of Humana, the Referral Coordinator must provide exceptional customer service to members, ensuring their needs are met in a timely and professional manner.
8. Collaborate with internal teams: The Referral Coordinator will collaborate with internal teams such as case managers, physicians, and nurses to ensure seamless coordination of care for members.
9. Monitor and track referrals: The Referral Coordinator will monitor and track the status of referrals to ensure timely processing and follow-up.
10. Stay updated on healthcare policies: It is the responsibility of the Referral Coordinator to stay updated on healthcare policies and procedures, and communicate any changes or updates to the team.
11. Adhere to confidentiality: The Referral Coordinator must adhere to strict confidentiality guidelines when handling sensitive member information.
12. Participate in training and development: The Referral Coordinator will participate in ongoing training and development to stay updated on industry trends and best practices.
13. Contribute to team goals: The Referral Coordinator will work collaboratively with the team to achieve departmental and company goals related to referrals and

According to JobzMall, the average salary range for a Referral Coordinator in Mesa, AZ, USA is $35,000 - $55,000 per year. This may vary depending on factors such as experience, education, and the specific employer.

Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.