Medical Referral Supervisor

CenterWellEl Paso, TX
2dOnsite

About The Position

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 works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. The Supervisor, Medical Referrals gathers and communicates all relative information and preparation instructions to patient and referring providers. Decisions are typically are related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across team. Holds team members accountable for following established policies. Use your skills to make an impact

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
  • Payor Portal Experience
  • 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 Haves

  • ICD-10 Certification
  • CRC Certification through AAPC
  • MRA and HEDIS knowledge
  • Athena Experience

Responsibilities

  • 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.
  • Performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates.
  • Ensures consistency in execution across team.
  • Holds team members accountable for following established policies.

Benefits

  • 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
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