CrawlJobs Logo

Referral Medical Supervisor

humana.com Logo

Humana

Location Icon

Location:
United States , Remote, Florida

Category Icon
Category:
-

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

59300.00 - 80900.00 USD / Year

Job Description:

Become a part of our caring community and help us put health first. 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 gathers and communicates all relative information and preparation instructions to patient and referring providers.

Job Responsibility:

  • Schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office
  • Gathers and communicates all relative information and preparation instructions to patient and referring providers

Requirements:

  • Bachelor's Degree
  • 4 - 6 years in a physician office, health care, or managed care environment
  • 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)
  • Strong experience in ICD-9, ICD-10 and CPT coding
  • Prior management or supervisory experience
  • Highly proficient with Microsoft Office products
  • Valid driver's license and/or dependable transportation necessary
  • Strong written and verbal communication skills
  • strong analytical, organizational and time management skills
  • Must be able to travel to various offices in the local market regularly
  • 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

Nice to have:

  • ICD-10 Certification
  • CRC Certification through AAPC
  • MRA and HEDIS knowledge
What we offer:
  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities

Additional Information:

Job Posted:
April 11, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Referral Medical Supervisor

Medical Social Work Supervisor

Under general direction, the Medical Social Work Supervisor works for the Depart...
Location
Location
United States , San Francisco
Salary
Salary:
124514.00 - 151346.00 USD / Year
sf.gov Logo
City and County of San Francisco
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Four (4) years of post-master’s Medical Social Worker experience in a health care setting
  • Current licensure as a Clinical Social Worker (LCSW) issued by the State of California Board of Behavioral Sciences as required under Title 22, California Administrative Code, Section 70055
Job Responsibility
Job Responsibility
  • Supervising intake functions including Adults Protective Services, home delivered meals, In Home Supportive Services, case management, Community Living Fund, Enhanced Care Management and Information, referral and assistance
  • Supervision of Class 2920 Medical Social Workers and Class 2940 Protective Services Worker staff
  • Provides consultation concerning the most difficult cases and serves as liaison for DAS intake Programs
  • Ensures all DAS Intake services are done in accordance with accepted social work practices, City and County, State, and Federal laws and regulations
  • Prepares records and reports and maintains statistical controls, accountability, and funding justifications
  • Engages in regular communication via telephone and in writing, making presentations to other staff, supervisors, departments, communities, and colleagues from outside agencies
  • Provides recourse to dissatisfied clients, and, when escalated, helps solve difficult problems and investigates and responds to reports of program misuse
  • Reviews and evaluates intakes by case review, case conferences, and individual conferences to ensure that intake workers accurately identify the client's needs
  • Advises staff, in emergency situations, of appropriate case action, casework methods for handling difficult cases, and suggesting methods and strategies to resolve problems
  • Participates in the selection of staff, providing or coordinating staff trainings, preparing staff work schedules, and implementing disciplinary procedures
  • Fulltime
Read More
Arrow Right

Revenue Cycle Referral Coordinator

This department is a large team that supports oncology patients within person an...
Location
Location
United States , Jacksonville
Salary
Salary:
Not provided
baptistjax.com Logo
Baptist Health (Florida)
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma/GED
  • Less than 1 year Medical Office Experience
Job Responsibility
Job Responsibility
  • Work directly with patients, physician and physician teams, and insurance companies to obtain authorizations and/or referrals for physician, imaging services, rehabilitation, infusion therapy, radiation oncology, and surgery appointment types for both the physician and facility
  • Adherence to the department’s policies and procedures related to the verification of eligibility/benefits, prior authorization requirements, and other identified financial clearance related duties
  • Authorizations and referrals must be obtained in a timely manner and status of such must be clearly documented in the relevant systems
  • The referral coordinator is responsible for timely escalation of financial clearance issues to the supervisor
What we offer
What we offer
  • $1,000 Sign on Bonus
  • opportunities for growth within BMDA
  • Fulltime
Read More
Arrow Right

Medical Social Work Supervisor

Under general direction, the Medical Social Work Supervisor works for the Depart...
Location
Location
United States , San Francisco
Salary
Salary:
124514.00 - 151346.00 USD / Year
sf.gov Logo
City and County of San Francisco
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Four (4) years of post-master’s Medical Social Worker experience in a health care setting
  • Current licensure as a Clinical Social Worker (LCSW) issued by the State of California Board of Behavioral Sciences
Job Responsibility
Job Responsibility
  • Supervising intake functions including Adults Protective Services, home delivered meals, In Home Supportive Services, case management, Community Living Fund, Enhanced Care Management and Information, referral and assistance
  • Supervision of Class 2920 Medical Social Workers and Class 2940 Protective Services Worker staff
  • Provides consultation concerning the most difficult cases and serves as liaison for DAS intake Programs
  • Ensures all DAS Intake services are done in accordance with accepted social work practices, City and County, State, and Federal laws and regulations
  • Prepares records and reports and maintains statistical controls, accountability, and funding justifications
  • Engages in regular communication via telephone and in writing, making presentations
  • Provides recourse to dissatisfied clients, and, when escalated, helps solve difficult problems and investigates and responds to reports of program misuse
  • Reviews and evaluates intakes by case review, case conferences, and individual conferences
  • Advises staff, in emergency situations, of appropriate case action, casework methods for handling difficult cases
  • Participates in the selection of staff, providing or coordinating staff trainings, preparing staff work schedules, and implementing disciplinary procedures
  • Fulltime
Read More
Arrow Right

Call Center Specialist

Premium Health is looking for outstanding candidates for the Call Center Special...
Location
Location
United States , Brooklyn
Salary
Salary:
20.00 - 23.00 USD / Hour
premiumhealth.org Logo
Premium Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Work well under pressure
  • Work in fast paced environments
Job Responsibility
Job Responsibility
  • Answer phone calls
  • Schedule appointments
  • Verify medical insurances
  • Create referrals
  • Respond to patient medical questions
  • Perform tasks as assigned by supervisor
What we offer
What we offer
  • Public service loan forgiveness (PSLF)
  • Paid Time Off
  • Medical plans
  • Dental plans
  • Vision plans
  • Retirement plans
  • Fulltime
Read More
Arrow Right

Physician Support Rep III

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
19.62 - 26.49 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma required
  • Minimum of 2 years of relevant experience required
  • or an equivalent combination of education and experience
  • Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred
  • Demonstrated customer relations skills
Job Responsibility
Job Responsibility
  • Performs complex secretarial and administrative duties, in a fast-paced environment with minimal direction and considerable latitude for independent judgment in support of the Pulmonary Clinic
  • Serves as primary contact for providers, manages calendar when applicable, manages providers clinic schedule based on provider templates and preferences for the Pulmonary Procedure Team
  • Reviews the clinical schedules on a continuous basis to identify for optimizing the time and effort of the providers
  • Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations
  • Researches patient medical record for information requested by physicians, insurance companies and attorneys
  • Edits and completes incoming form requests for provider signature
  • Manages and edits provider procedure calendars
  • Receives incoming patient telephone calls for attending (s), fellow (s) and nurse practitioner(s) via eRecord or Access Center transfer call, managing and/or resolving various scheduling/coordination issues and answering questions as needed
  • Reviews electronic chart work queues, in baskets and pools for continual management and triaging
  • Schedules outgoing referral requests, which are time sensitive
  • Fulltime
Read More
Arrow Right

Supervisor, Medical Office

As a community, the University of Rochester is defined by a deep commitment to M...
Location
Location
United States of America , Rochester
Salary
Salary:
24.22 - 31.49 USD / Hour
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree and 2 years of relevant experience required
  • Or equivalent combination of education and experience
Job Responsibility
Job Responsibility
  • Provides customer-focused service to support the care of patients, families and visitors in an outpatient setting
  • Pre-registers patients, schedules appointments, coordinates referrals and coordinates disposition procedures
  • Coordinates and supervises the daily activities of a support, production or operations team
  • Sets priorities for the team to ensure task completion
  • Supervises the daily operations for one or more medical offices
  • Works with leadership to recommend and implement procedures for efficient office operations
  • Assists with the development of efficient and effective processes to support and manage the flow of patient care, from initial referral to follow up
  • Compiles and analyzes statistics, prepares analytical and evaluative reports, and writes operating or procedural manuals or instructions, as needed
  • Prepares materials for publication about the department's activities
  • Assesses operational needs of the offices by working closely with leadership
  • Fulltime
Read More
Arrow Right

Medical Assistant I

ChristianaCare Primary Care Pediatrics at Map II in Newark, DE is looking for a ...
Location
Location
United States , Newark
Salary
Salary:
19.10 - 27.69 USD / Hour
christianacare.org Logo
Christiana Care
Expiration Date
June 30, 2026
Flip Icon
Requirements
Requirements
  • High School Graduate or GED required
  • A graduate of a recognized Medical Assistant Program or hold current Medical Assistant Certification by a national organization accredited by the National Commission for Certifying Agencies (NCCA) or the American National Standards Institute (ANSI)
  • Must possess excellent attention to detail, dependability, excellent communication skills, integrity, and technical skills
Job Responsibility
Job Responsibility
  • Greeting and assisting patients both virtually and on-site
  • Rooming patients and preparing them for visits by taking and recording vital signs
  • Performing point of care testing
  • Administering injections and medications
  • Conducting EKGs when needed
  • Supporting clinicians during examinations and procedures
  • Preparing treatment rooms with essential supplies
  • Completing patient-specific paperwork
  • Ensuring electronic medical records (EMR) are up to date with relevant test results
  • Handling patient callbacks with information as directed by providers
What we offer
What we offer
  • Full Medical, Dental, Vision, Life Insurance, etc.
  • Two retirement planning offerings, including 403(b) with company contributions
  • Generous paid time off with annual roll-over and opportunities to cash out
  • 12 week paid parental leave
  • Tuition assistance
  • Annual membership to care.com
  • Access to backup care services for dependents through Care@Work
  • Retirement planning services
  • Financial coaching
  • Fitness and wellness reimbursement
  • Fulltime
Read More
Arrow Right

Lead Clinical Pharmacist

Lead Clinical Pharmacist position at Thrifty White Pharmacy, a pharmacy chain fu...
Location
Location
United States , Maple Grove
Salary
Salary:
50.00 - 72.00 USD / Hour
thriftywhite.com Logo
Thrifty White
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • B.S. Degree or Pharm.D. in Pharmacy from an accredited educational institution
  • Three years of experience as a practicing pharmacist
  • Must be capable of assuming responsibility for evaluating and monitoring drug therapy relative to the total needs/problems of the ambulatory care patient in collaboration with physicians, nurses, and other healthcare professionals
  • Current Minnesota pharmacist license
  • Current or willing to obtain North Dakota, Iowa, and/or Wisconsin pharmacist license
  • Certificate of training for Immunizations
  • Certification in CPR or BCLS
  • Working knowledge of third-party pay plans and of various quality measurement entities, such as the Centers for Medicare & Medicaid Services (CMS) and Pharmacy Quality Alliance (PQA)
  • Excellent customer service and communication skills
  • Proficient in the English language
Job Responsibility
Job Responsibility
  • Supervise a team of pharmacist(s), technician(s) and other support staff in administering and completing clinical services
  • Perform all duties of a staff pharmacist by conducting direct patient care services
  • Coordinate and help manage clinical pharmacy patients, programs, and initiatives
  • Provides a pharmacy atmosphere and excellent customer service to develop and maintain patient and employee loyalty
  • Welcomes partnership of management to leverage tools, reports, and processes to exceed sales goals
  • Leads team to meet and exceed financial goals including payroll, sales, and clinical service expectations
  • Leads team by modeling, coaching, and maintaining high standards in patient service
  • Leverages Regional Support Pharmacy Manager, Regional Support Pharmacist, and Senior Regional Support Pharmacist for personal and team development
  • Organizes and directs workflow
  • Provides professional services to patients by presenting a positive image of leading by example
What we offer
What we offer
  • 401(k)
  • Competitive salary
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Profit sharing
  • Training & development
  • Vision insurance
  • Fulltime
Read More
Arrow Right