Referral and Scheduling Coordinator Job at Humana (Atlanta)

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

Medical Office Assistant

IMS Care Center is currently searching for a professional, compassionate and kno...

Location

United States , Avondale

Salary:

Not provided

Integrated Medical Services, Inc.

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Must have one of the following: Certified Nursing Assistant (CNA) Certification, Registered Medical Assistant, emergency room or Emergency Medical Technician certification, or minimum of 2-5 years of medical assisting experience
Experience with office medical procedures and treatments and knowledge of insurance, managed care options, EMR and scheduling software
Requires exceptional interpersonal and communication skills. Ability to interact with people from different backgrounds and cultures
Requires the ability to manage multiple changing priorities in an effective and organized manner
Must have knowledge of and always follow HIPAA guidelines and secure Protected Health Information
The ability to work in a constant state of alertness and in a safe
Computer skills that support efficient usage of systems
Desire to deliver the best quality customer service
Professional demeanor when working with patients face-to-face or over the phone

Job Responsibility

Prepares patient for exam and treatment by taking and recording vital signs, symptoms and other necessary measurements and recording chief complaint
documents pain scores as appropriate and charts in electronic medical record accurately and efficiently. Report’s condition of patient which may be indicative of change in the patient's condition to the clinician. Assists providers with exams and minor in office procedures and acts as chaperone as needed
Performs a variety of office-based testing and treatments related to patient care under the supervision of a clinician, including but not limited to injections, aspirations, and other procedures as needed. May administer medications in accordance with established policies and procedures or as directed. Use universal sterile techniques and personal protective equipment as always needed to ensure compliance with OSHA regulations
Coordinates and manages patient care including pre-certifications, referrals, authorizations, prescriptions and scheduling of patients for clinic, hospital and other ancillary medical treatments and tests. Responsible for communicating test results, patient instruction regarding durable medical equipment and home exercise programs to patients, where directed. Acts as a resource to clinical and non-clinical staff to provide optimal patient care
Provides clerical support with patient/client notification and documentation, to include but not limited to complete medical records including labs, authorizations, X-Rays, hospital records and any previous care pertaining to each patient visit. Provides complete and accurate information necessary for billing related to the patient encounter in a timely fashion. Other duties to include scheduling follow up appointments with patients
Maintains a clean, functional environment including cleaning and disinfection of equipment, exam rooms and storage areas. Disinfects equipment and instruments using appropriate solutions following sterilization procedures. Follows manufacturer's recommendations and OSHA guidelines in handling hazardous substances. Performs basic maintenance of equipment and coordinates needed maintenance for prompt repairs
Orders supplies and stocks patient care areas. Monitor’s inventory including medication and injectables, i.e., expired medications/equipment, recalls and patient tracking
Keeps in communication with the front office to aid in patient flow. Responsible for prioritization of patient flow through clinical process
Front Office Duties when necessary and include: Answering patient calls and directing them to the appropriate department or
Scheduling and re-scheduling patient

What we offer

Medical, Dental, and Vision benefits
401k match available
Paid Time Off
short-term and long-term disability
life insurance
very lucrative 401K plan

Fulltime

Care coordinator auth scheduling specialist

Location

United States , Charlotte

Salary:

20.40 - 30.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Computer experience required
Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred
Knowledge of medical records software preferred
Customer service experience required

Job Responsibility

Completes referrals for patients and coordinates with referring and receiving practices and/or departments
May coordinate and prepare financial estimates for patients
Obtains all authorizations needed
Directs patients to providers in their insurance plan
Reviews benefits and educates patient on insurance coverage
Coordinates and schedules surgical procedures, diagnostic testing, or other services within various departments with internal and ancillary providers
Reviews schedules and confirms schedules are accurate and time is properly allocated
Follows up on all referrals to ensure no care gaps

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Care Coordinator Auth Scheduling Specialist

Location

United States , Winston Salem

Salary:

20.80 - 31.20 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Computer experience required
Thorough understanding of Insurance coverage (FSC/Coverage/Plan types) and Medical Necessity policies preferred
Knowledge of medical records software preferred
Customer service experience required

Job Responsibility

Completes referrals for patients and coordinates with referring and receiving practices and/or departments
May coordinate and prepare financial estimates for patients
Obtains all authorizations needed
Directs patients to providers in their insurance plan
Reviews benefits and educates patient on insurance coverage
Coordinates and schedules surgical procedures, diagnostic testing, or other services within various departments with internal and ancillary providers
Reviews schedules and confirms schedules are accurate and time is properly allocated
Follows up on all referrals to ensure no care gaps

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Patient Services Coordinator - Appointments

The Patient Services Coordinator is a multi-skilled operational role responsible...

Location

United Kingdom , Chichester

Salary:

25000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Strong organisational and scheduling skills
Attention to detail and accuracy
Effective verbal and written communication
Collaborative, team-oriented approach
Commitment to safeguarding, confidentiality and service quality
Ability to prioritise workload and manage competing demands
Adaptability and willingness to work across multiple operational functions
Proficient in Microsoft Office and clinical scheduling/management systems
Capable of handling, processing and interpreting operational data
Professional, articulate written communication

Job Responsibility

Manage and maintain clinician schedules, ensuring optimal clinic capacity
Coordinate patient pathways from referral through to assessment, reporting and follow-up
Support daily operations by proactively resolving scheduling conflicts or delays
Ensure efficient processing of referrals, risk screening and appointment bookings
Act as a non-clinical first point of contact for patients, families, referrers and external stakeholders
Handle enquiries sensitively and professionally, signposting or escalating where appropriate
Maintain accurate and up-to-date patient records throughout the pathway
Support the collection, recording and escalation of patient feedback
Provide comprehensive operational and administrative assistance across the Autism Service
Support clinicians with documentation, scheduling updates and logistical requirements

Fulltime

Referral and Scheduling Coordinator

Humana

Location:
United States , Atlanta

Category:
Office Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 17, 2026

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Location:United States , Atlanta

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Contract Type:Not provided

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Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:February 17, 2026

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