Humana

Intake Coordinator Home Health

San Antonio, Texas, United States

Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Intake Coordinator

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. As an Intake Coordinator, you will be responsible for managing the initial stages of patient care, ensuring a smooth and efficient transition to home health services.

Responsibilities

  • Receive and respond to incoming calls from referral sources or potential patients.
  • Exchange information to identify patient needs and determine the company’s ability to meet them.
  • Record the outcome of calls manually or in an automated manner.
  • Make follow-up calls as necessary and identify alternative community service resources when solutions are not available.
  • Perform initial telephone screening to determine patients’ appropriateness for home care services with referral sources.
  • Advise branch staff of patient acceptance and provide all relevant information to ensure patients’ smooth transition to home care.
  • Contact referral sources to advise of referral status and provide information to the clinical team.
  • Identify potential payer sources, verify benefits, negotiate rates, and obtain initial authorizations and frequency of visits from case managers.
  • Establish primary payers and document conversations with payer sources.
  • Access national or regional account information, including names of accounts and terms of contracts, as appropriate, and communicate this information to branch and intake department staff.
  • Work with the Intake team, branch staff, and patients to identify potential solutions for issues identified with payer sources.
  • Monitor and track referral sources’ satisfaction levels.
  • Communicate customer service issues to up-line Intake and branch staff as appropriate.

Requirements

  • High School Diploma or equivalent.
  • Minimum of three years of health care delivery or related business experience preferred.
  • Strong knowledge of medical terminology preferred.
  • Customer service focus preferred.
  • Knowledge of insurance reimbursement process preferred.
  • Effective data entry and word processing skills.
  • Strong problem-solving, human relations, and oral/written communication skills.

Additional Information

Remote Work Requirements

To ensure effective work for Home or Hybrid Home/Office employees, the self-provided internet service must meet the following criteria:

  • Minimum Speed: 25 Mbps download and 10 Mbps upload.
  • Connection Type: Wireless, wired cable, or DSL connection is suggested. Satellite, cellular, and microwave connections may be used only if approved by leadership.
  • Internet Expense Reimbursement: Employees living and working from Home in California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • Equipment: Home or Hybrid Home/Office employees will be provided with appropriate telephone equipment.
  • Work Environment: Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full-time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job-related skills, knowledge, experience, education, certifications, etc.

$39,000 - $49,400 per year

Benefits

CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families, including:

  • Health benefits effective day 1.
  • Paid time off, holidays, and jury duty pay.
  • Recognition pay.
  • 401(k) retirement savings plan with employer match.
  • Tuition assistance.
  • Scholarships for eligible dependents.
  • Caregiver leave.
  • Employee charity matching program.
  • Network Resource Groups (NRGs).
  • Career development opportunities.

Skills

Medical Terminology
Customer Service
Insurance Reimbursement
Data Entry
Word Processing
Communication

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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