Medical Referral Supervisor

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. This role operates according to detailed, established guidelines and procedures, applying independent judgment to analyze varying factors and resolve routine problems. The Supervisor collaborates with management and top professionals/specialists in selecting methods, techniques, and analytical approaches, and reports to the Associate Operations Director.

The position gathers and communicates all relevant information and preparation instructions to patients and referring providers. It involves decision-making related to scheduling, planning, and daily operations, as well as performing escalated or complex tasks. The Supervisor manages a team of support and technical associates, coordinates daily oversight, ensures consistency in execution, and holds team members accountable for following established policies.

Responsibilities

• Schedule and pre-register patients for exams and procedures with external specialists and providers.
• Apply independent judgment to resolve routine problems and analyze varying factors.
• Collaborate with management and specialists in selecting methods, techniques, and analytical approaches.
• Gather and communicate preparation instructions to patients and referring providers.
• Make decisions related to scheduling, planning, and daily operations.
• Manage and provide daily oversight to a team of support and technical associates.
• Ensure consistency in team execution and hold team members accountable for policies.

Requirements

• 3+ years of experience in a physician office, healthcare, or managed care environment.
• Experience with ICD-9, ICD-10, and CPT coding.
• Minimum of 2 years of management or supervisory experience.
• Proficient with Microsoft Office products.
• Valid driver’s license and reliable transportation.
• Excellent written and verbal communication skills, with strong analytical, organizational, and time management abilities.
• Must pass a Tuberculosis (TB) screening as this role is in a patient-facing environment.
• Passion for contributing to an organization focused on improving consumer experiences.

Preferred Qualifications

• ICD-10 Certification.
• Certified Medical Coder with one of the following active certifications and high competency: CPC, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA.
• CRC Certification through AAPC.
• MRA and HEDIS knowledge.

Schedule

• Monday - Friday, 8:00 AM to 5:00 PM.
• Scheduled weekly hours: 40.
• Regular travel to multiple offices within the Daytona, FL market is required.

Pay

The pay range for this full-time (40 hours per week) position is $59,300 - $80,900 per year. The range may vary based on geographic location, and individual pay will depend on demonstrated job-related skills, knowledge, experience, education, and certifications. This role is eligible for a bonus incentive plan based on company and/or individual performance.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, including company and personal holidays, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.
• Additional opportunities designed to support whole-person well-being.

About the Company

Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, and minor injury treatment. As part of Humana’s Primary Care Organization, Conviva uses an innovative, value-based approach to deliver the best care at the lowest cost, addressing not only physical health but also social, emotional, behavioral, and financial needs.

CenterWell, a Humana company, focuses on creating integrated and differentiated healthcare experiences centered around patients. As the largest provider of senior-focused primary care, a leading provider of home healthcare, and a top integrated home delivery, specialty, hospice, and retail pharmacy provider, CenterWell emphasizes whole health and personalized care.