Medical Referral Supervisor

Medical Referral Supervisor

Conviva Senior Primary Care

Base pay range: $71,100/year - $97,800/year. Compensation may be higher or lower depending on geographic location, skill level, education, certifications, and experience.

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. Working within prescribed guidelines and procedures, the supervisor uses independent judgment and collaborates with management and specialists to select methods, techniques, and analytical approaches. The supervisor gathers and communicates all relevant information and preparation instructions to patients and referring providers, makes schedule, plan, and daily‑operations decisions, performs escalated or complex work, supervises a group of support and technical associates, coordinates day‑to‑day oversight, ensures consistency, and holds team members accountable for established policies.

• 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 a high degree of competency: CPC, CPC‑H, CPMA (AAPC) or CCA, CCSP, CCS (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
• Strong written and verbal communication, analytical, organizational and time‑management skills
• Must be able to travel to various offices in the local market regularly
• Role includes participation in Humana's Tuberculosis (TB) screening program; the applicant must be screened for TB
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

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

Work schedule:

Full Time / 40 Hours / M‑F / 8a‑5p

Job Type: Medical Records

Specialty:
Primary Care for Seniors

Position Type:
Clinic / On‑site

• 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

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Humana also takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and advance in employment individuals with disability or protected veteran status, and bases all employment decisions only on valid job requirements.

This policy applies to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, layoff, recall, termination, rates of pay or other compensation, and selection for training including apprenticeship, at all levels of employment.