E-Referral Specialist, Home Health

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee various e-referral systems to detect new referrals and handle alerts and notifications.

• Check email requests to retrieve referrals from relevant referral systems.

• Conduct follow-up actions and manage associated communications.

• Review documentation to assess patient eligibility for services, such as service area, orders, and insurance coverage.

• Track the progress of all referrals and follow up throughout the entire process.

• Provide weekly reports on referral status.

• Liaise with branch, sales, and leadership via email or phone to update on status and referral decisions.

• Maintain the ERST log daily, including all referrals and ROC decisions.

• Adhere to acceptable productivity levels as per work assignments and departmental expectations.

• Comply with regulatory requirements, policies, procedures, and best practices set by the company.

• Act as the primary contact for clients or referral sources to ensure continuity of care.

• Report directly to the E-Referral Supervisor.

⛳️ Requirements

• High School Diploma or an equivalent qualification.

• Capability to type at least 40 words per minute.

• Proficiency in understanding and applying basic math principles for data analysis and report generation.

• Skilled in Microsoft Office applications, including Word, Excel, Outlook, and Teams.

• Strong logical thinking and decision-making abilities.

• Competence in adhering to strict deadlines.

• Effective communication skills with all management levels.

• Ability to work across multiple screens/systems while maintaining attention to detail.

• Strong time management skills and capacity to thrive in a fast-paced environment.

• Must be fluent in reading, writing, and speaking English.

• Consistent and reliable attendance.

• Personal internet service with a minimum download speed of 25 Mbps and upload speed of 10 Mbps.

• A dedicated workspace free from interruptions to safeguard member PHI/HIPAA information.

• Completion of Florida Level 2 background screening via the Care Provider Background Screening Clearinghouse for candidates applying from Florida locations.

• Experience in processing incoming referrals using eReferral portals and EPIC systems is preferred.

• One or more years of customer service or healthcare-related experience, ideally in a home health setting is preferred.

• Understanding of issues pertaining to home health service delivery is preferred.

• Familiarity with Medicare enrollment and regulations governing home health agencies is preferred.

• An Associate degree is preferred.

🏝️ Benefits

• Medical, dental, and vision insurance.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Support for personal wellness and healthcare decision-making.

• Remote work options.

• Occasional travel to Humana offices for training or meetings.