Our Fulfillment Coordinator is responsible on a daily basis for ensuring the smooth operation of the department.

Job schedule: Monday - Friday 1pm - 10pm with rotational weekend work

What to expect in your role:

• Provide order fulfillment in the administration of the ONE Programs to include: telephone coverage of customers, data entry of all calls and correspondence, making follow-up phone calls, handling any written correspondence, and other pending orders service requests.
• Provide verification of eligibility and contractual arrangements for types of services per Health Plan specific direction.
• Coordinate all services and care per contractual arrangements, policy, and workflow.
• Complete appropriate documentation in designated system for all reviews and tasks associated with completing an order.
• Provide assistance to Providers, health plans, other staff, and referral sources while educating and supporting the Utilization Management program.
• Complete appropriate documentation in designated system for all reviews and tasks associated with completing an order.
• Provide assistance to Providers, health plans, other staff, and referral sources while educating and supporting the Utilization Management program.
• Handle any provider/beneficiary/health plan calls.
• Participate in after-hours/weekend/holidays support for the department as scheduled.
• Provides excellent customer service both to internal and external customers, while meeting daily goal requirements.
• Ensures orders are processed timely and efficiently to ensure that Plan Member receives their orders within the guidelines of contract.
• Promotes a conducive and positive work environment.
• Completes other task as needed.

What you need to succeed:

• High school diploma or equivalent.
• 1+ years of experience in healthcare industry
• Positive and professional phone presence
• Proficient in Microsoft Office and Windows products
• Knowledge of medical terminology
• Working knowledge of computerized medical management systems and/or web-based programs
• Strong interpersonal and communication skills including verbal and written communication
• Detail-oriented with the ability to work on multiple, competing, priorities and is extremely organized
• Ability to analyze processes and suggest innovative ideas to improve efficiencies
• Able to communicate effectively in English, both verbally and in writing.
• Additional languages preferred.

What we offer to you:

“We care for our employees as much as we care for our patients, which is why we offer a comprehensive benefits package, generous PTO, and employee wellness programs.”

Equal Opportunity Employer
It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Weekend availability

Ability to commute/relocate:

• Hollywood, FL 33025: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• This role's starting rate is 15.50 but may pay more based on experience, are you okay to proceed?
• Our company performs in depth backgrounds and drug screens. Will this be okay?
• Our company currently requires employees to be vaccinated or willing to vaccinate against COVID-19, although we do accept exemptions. Will this be okay?
• This position is a Monday-Friday 1-10pm with alternating weekends. Will this be okay?
• Are you related to someone who works for Humana?

Work Location: One location

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