Referrals Coordinator 1

CenterWell Home Health • Asheville, NC

2d

About The Position

Become a part of our caring community and help us put health first The Referral Coordinator I supports CenterWell Senior Primary Care by coordinating and managing patient referrals to internal and external providers. This role ensures timely access to care, accurate documentation, and a positive patient experience while operating in alignment with CenterWell Primary Care Organization (PCO) guidelines, Humana policies, and established referral workflows.

Requirements

• Minimum of 1-3 years of experience in a healthcare administrative, patient access, referral coordination, or call center role
• Strong data entry skills with high attention to detail
• Ability to manage multiple priorities in a fast-paced healthcare environment
• Professional written and verbal communication skills
• Demonstrated customer service skills with patients and provider partners

Nice To Haves

• Associate's or Bachelor's degree
• Experience working in a primary care, managed care, or Medicare Advantage environment
• Familiarity with medical terminology and referral workflows
• Experience using electronic medical records (Athena, eClinicalWorks, Epic, or similar systems)

Responsibilities

• Process and manage referrals within the electronic medical record (EMR) in accordance with CenterWell PCO guidelines and Humana policies
• Review referral orders for completeness, accuracy, and required documentation prior to processing
• Assign referrals to appropriate in-network and out-of-network providers network standards
• Communicate with patients, provider offices, and internal clinical teams to coordinate referral needs and resolve issues
• Track referral status and follow up to support timely scheduling and completion of services in alignment with access and turnaround time expectations
• Answer inbound and outbound calls related to referral coordination while providing excellent customer service
• Document referral activity accurately and maintain compliance with HIPAA, PCO standards, and organizational policies
• Meet established productivity, quality, and referral turnaround time expectations
• Participate in daily huddles and team touchpoints to review priorities, workflows, and operational updates
• Provide education, guidance, and ongoing support to providers and center staff regarding referral workflows, PCO guidelines, and best practices
• Serve as a resource for referral-related questions to promote consistency, efficiency, and improved patient access to care
• Escalate complex, urgent, or non-standard referrals in accordance with PCO escalation pathways
• Support departmental initiatives focused on operational efficiency, compliance, and patient-centered care

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees