If you’re sharp on the phone, calm under pressure, and you like process-driven work, this is a solid remote healthcare admin role. You’ll support providers calling in to start referral authorizations or check the status of existing requests, making sure everything is captured cleanly and routed correctly.
About CenterWell (Humana)
CenterWell, part of Humana, focuses on patient-centered experiences across senior primary care, home health, and pharmacy services. Conviva Senior Primary Care (within CenterWell) delivers proactive, preventive care for seniors through a value-based model.
Schedule
Full-time (40 hours/week)
Remote (occasional travel may be required for training/meetings)
Internet requirement: high-speed DSL or cable (satellite not allowed)
What You’ll Do
- Answer incoming provider calls to initiate referrals/authorizations or provide status updates
- Collect, verify, and enter provider and member information into internal systems
- Process referral authorization requests following UM protocols and regulatory guidelines
- Coordinate with clinical and administrative UM teams to resolve questions and move cases forward
- Explain UM processes, documentation needs, and referral guidelines clearly and professionally
- Manage call queues and multitask to meet service levels and reduce provider wait times
- Escalate urgent or complex cases to clinical or supervisory staff when appropriate
- Document all interactions accurately and in compliance with standards
- Participate in training and quality assurance activities
- Follow privacy, confidentiality, and compliance requirements
What You Need
- 1+ year of administrative or technical support experience
- Strong verbal and written communication skills
- Working knowledge of Microsoft Office (Word, Excel, Outlook) and ability to learn new systems quickly
- Home setup with high-speed DSL/cable internet (recommended 10Mx1M; satellite not permitted)
- Comfort working in a fast-paced, high-volume environment
- Customer experience mindset and reliability with details
Benefits
- Salary range: $40,000 – $52,300 per year
- Medical, dental, vision
- 401(k) retirement savings plan
- Time off (PTO, company/personal holidays, volunteer time off)
- Paid parental and caregiver leave
- Short- and long-term disability, life insurance, and additional benefits
This is one of those roles where being “steady” is a superpower. If your phone skills are strong and you don’t get rattled by queues, it’s worth a serious look.
Happy Hunting,
~Two Chicks…