Become a part of our caring community and help us put health first

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

　　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.

　　Required Qualifications

　　Possesses high school diploma or equivalent.1+ years of experience in healthcare industryPositive and professional phone presenceProficient in Microsoft Office and Windows productsKnowledge of medical terminologyWorking knowledge of computerized medical management systems and/or web-based programsStrong interpersonal and communication skills including verbal and written communicationDetail-oriented with the ability to work on multiple, competing, priorities and is extremely organizedAbility to analyze processes and suggest innovative ideas to improve efficiencies

　　Additional Information

　　Scheduled Weekly Hours

　　40

　　About onehome: onehome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. onehome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. onehome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.

　　About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

　　Equal Opportunity Employer

　　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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.