Referral and Scheduling Coordinator Job at Humana (Jupiter)

Insurance Referral Coordinator

This role is pivotal within the healthcare industry, where you will be coordinat...

Location

United States , Mount Vernon

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in using Allscripts software
Experience with Cerner Technologies
Proficient in Customer Relationship Management (CRM) software
Familiarity with Dentrix Dental Software
Knowledge of Eaglesoft software
Ability to handle Answering Inbound Calls
Experience with Authorizations in an insurance setting
Understanding of Benefit Functions within an insurance framework
Knowledge of Billing Functions pertinent to insurance
Experience in Claim Administration within an insurance context

Job Responsibility

Accurately scheduling patients for prescribed referrals
Assisting patients in navigating through referrals and insurance authorizations
Answering patient inquiries appropriately, whether in person or via telephone
Delivering high-quality customer service to patients
Utilizing various software such as Allscripts, Cerner Technologies, CRM, Dentrix Dental Software, and Eaglesoft to manage tasks
Handling authorizations and benefit functions
Administering claims and overseeing billing functions
Receiving and responding to inbound calls
Ensuring tasks and competencies specific to the location/department are fulfilled

What we offer

medical
vision
dental
life and disability insurance
eligibility to enroll in company 401(k) plan

Fulltime

Associate Patient Care Coordinator

Join our team in New Hyde Park, New York as an Associate Patient Care Coordinato...

Location

United States , New Hyde Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Demonstrable experience in scheduling appointments accurately and efficiently
ability to handle and respond to VoiceMail messages in a timely and detail-oriented manner
experience with handling and processing copays and managing patient balance
proven ability to generate and handle referrals effectively
excellent interviewing skills to gather necessary patient information
training skills to guide and educate patients and their families about the care process
ability to work with offshore teams and coordinate care across different locations
strong communication skills to answer queries and provide information to patients and their families

Job Responsibility

Efficiently handle patient check-ins and checkouts
organize and manage patient appointments
handle high-volume phone inquiries
prepare and confirm patient charts for the following day
manage the collection of copays and patient balances
check and respond to voicemail messages
verify patient eligibility and handle referrals

What we offer

Medical insurance
vision insurance
dental insurance
life and disability insurance
401(k) plan

Fulltime

Home Care Service Coordinator

Helping Hands Home Care specializes in care and daily living assistance to an ar...

Location

United States , Hermitage

Salary:

Not provided

Arcadia Home Care and Staffing - an Addus family company

Expiration Date

Until further notice

Requirements

Must complete the agency's employment process
Must be at least 18 years of age
2 Years of Customer service experience required
Must exhibit mature, responsible behavior, and understand consumer confidentiality
Must be able to follow directions, and work as a team
Must have reliable transportation to, and from assignments
Human Resources (Recruiting) experience preferred

Job Responsibility

Assist Area Manager with meeting minimum standards for the operation of non-medical in-home care set forth by state and local agencies
Responsible for updates and compliance with state regulation changes
Responsible for answering calls that come into the office
Responsible for coordinating pre-employment requirements for new employees
Assist with interviews
Responsible for scheduling orientation and performing orientation in the absence of the Area Manager
Ensure the compliance of employees with state regulations
Ensure adequate staff education and evaluations
Assist with referrals and inquiries of the programs the agency provides services for
Responsible for maintaining email account and correspondence

What we offer

Medical, Dental and Vision Benefits
Continued Education
Monthly Bonus
PTO Plan
Retirement Planning
Life Insurance
Employee discounts

Fulltime

Care Coordinator Specialist

CareGivers America - NEPA, a Modivcare Personal Care Service, is looking for a C...

Location

United States , Lewistown

Salary:

20.00 - 25.00 USD / Hour

CareGivers America

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
3+ years of Customer Service experience required
3+ years of Home Care experience preferred
Scheduling experience strongly preferred
HHAeXchange experience strongly preferred

Job Responsibility

Oversee and manage the care coordination process for a caseload of patients, ensuring continuity and quality of care
Monitor patient progress, evaluate outcomes, and modify care plans as necessary to achieve optimal health outcomes
Manage the intake process, including reviewing referrals, verifying insurance coverage, and obtaining necessary authorizations for services
Ensure timely and accurate completion of required documentation, including patient assessments, consent forms, and care plans
Collaborate with referral sources, healthcare providers, and internal teams to ensure smooth transitions and facilitate the start of care
Serve as a primary point of contact for patients, families, and healthcare professionals, providing ongoing communication and support throughout the care coordination process
Facilitate effective communication and information sharing among the care team, ensuring all members are informed of pertinent patient information and updates
Act as a resource and mentor to Care Coordinator Associates, providing guidance and support in complex care coordination cases
Advocate for patients and their families to ensure their needs, preferences, and rights are respected and met throughout the care process
Monitor and evaluate the quality-of-care coordination services provided, ensuring adherence to regulatory standards and best practices

What we offer

Medical, Dental & Vision Insurance
401(k) with a 6% match
Paid Time Off
10 Paid Holidays
Employee Assistance Program
Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)
Voluntary Term Life and AD&D Insurance
Legal Services Insurance
Short-Term and Long-Term Disability
Accident, Critical Illness & Hospital Indemnity Insurance

Fulltime

Insurance Referral Coordinator

We are looking for 10 dedicated Insurance Referral Coordinators to join our heal...

Location

United States , Oakland

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in a healthcare or insurance referral coordination role
Strong knowledge of referral generation, authorization, and verification processes
Proficiency in patient intake procedures and maintaining accurate medical records
Familiarity with Medisoft or similar healthcare software
Excellent organizational skills and ability to prioritize tasks effectively
Exceptional communication skills for handling calls and interacting with patients and providers
Demonstrated ability to deliver high-quality customer service in a healthcare setting

Job Responsibility

Coordinate referral appointments for patients, ensuring all necessary details are accurately documented
Maintain and update patient records to reflect referral and insurance information
Verify insurance eligibility and benefits to support patient care processes
Obtain prior authorizations for referrals and procedures as required
Make outbound calls to patients and providers, with an average of 60+ calls daily
Provide administrative support to the healthcare team, ensuring efficient workflow
Deliver exceptional customer service to patients and providers, addressing inquiries promptly
Collaborate with colleagues to streamline referral generation and authorization processes
Focus exclusively on scheduling external referrals currently pending (approximately 2,500 referrals)
Contact specialty offices to secure appointments

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

New

Insurance Referral Coordinator

We are looking for a dedicated Insurance Referral Coordinator to join our team o...

Location

United States , Oakland

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in referral coordination or a similar role
Proficiency in insurance referrals, verification processes, and prior authorization procedures
Strong skills in referral generation and patient intake
Familiarity with Medisoft or similar healthcare software
Excellent communication and interpersonal skills
Ability to manage multiple tasks and prioritize effectively
Detail-oriented with a focus on accuracy in record-keeping
Commitment to maintaining patient confidentiality and delivering quality service

Job Responsibility

Coordinate referral appointments, ensuring timely scheduling and communication with patients
Maintain and update patient records with accuracy and confidentiality
Verify insurance eligibility and benefits to support smooth processing of referrals
Obtain prior authorizations for medical services as required
Handle high volumes of outbound calls to patients and healthcare providers
Provide administrative support to streamline referral operations
Deliver exceptional customer service while addressing patient inquiries and concerns
Collaborate with healthcare teams to ensure effective care coordination

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Referral & prior auth rep iii

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of relevant experience required
Medical Terminology, experience with surgical/appointment scheduling software and electronic medical records preferred
Demonstrated customer relations skills required

Job Responsibility

Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines
Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided
Plans, executes, appeals and follows through on all aspects of the process which has direct, multifaceted impact on patient scheduling, treatment, care and follow up
Adheres to approved protocols for working referrals and prior authorizations
Responsible for managing department referrals
Serves as liaison, appointment coordinator, and patient advocate between the referring office, specialists, and patient to assist in the coordination of scheduled visits and procedures incorporating all incoming referrals to the department
Conducts data analyses to track patient compliance with specialty services, consistently monitors the work queues, and communicates with referring and referred to departments to reconcile any discrepancies and/or answer any questions
Escalates case management when medical assessment is needed
Prioritizes referral requests using medical protocols, responding immediately and expediting most urgent requests
Requests and coordinates team and patient meetings as needed or requested by patient

Fulltime

Referral & Prior Auth III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 2 years of relevant experience required
Medical Terminology, experience with surgical/appointment scheduling software and electronic medical records preferred
Demonstrated customer relations skills required

Job Responsibility

Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines
Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided
Plans, executes, appeals and follows through on all aspects of the process which has direct, multifaceted impact on patient scheduling, treatment, care and follow up
Adheres to approved protocols for working referrals and prior authorizations
Responsible for managing department referrals
Serves as liaison, appointment coordinator, and patient advocate between the referring office, specialists, and patient to assist in the coordination of scheduled visits and procedures incorporating all incoming referrals to the department
Conducts data analyses to track patient compliance with specialty services, consistently monitors the work queues, and communicates with referring and referred to departments to reconcile any discrepancies and/or answer any questions
Escalates case management when medical assessment is needed
Prioritizes referral requests using medical protocols, responding immediately and expediting most urgent requests
Requests and coordinates team and patient meetings as needed or requested by patient

Fulltime

Referral and Scheduling Coordinator

Humana

Location:
United States , Jupiter

Category:
Office Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
March 18, 2026

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Referral & Prior Auth III

Referral and Scheduling Coordinator

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Location:United States , Jupiter

Category:Office Administration

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:March 18, 2026

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Location:
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Job Posted:
March 18, 2026