E-Referral Specialist Home Health

This is a part-time position scheduled for 29 hours a week. Days/hours of availability: Tuesday and Wednesday from 12pm-5pm EST & Thursday and Saturday from 8am-6pm EST. Available to work 2 holidays a year. Based on business needs, additional holiday coverage may be required. As an E-Referral Specialist you will report to the E-Referral Supervisor. You will be an important part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. You will be responsible for data collection and documentation, compliance, and follow up on the initial referral process and decision. Essential Functions: Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications. Monitor email for request to pull referrals from all applicable referral systems. Perform follow-up and manage all related communication. Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.) Monitor status of all referrals received, follow up with each throughout process, reports on status weekly. Communicate with branch, sales, leadership by email or phone for status updates and referral decisions. Daily management of ERST log with all referrals and ROCs decisions. Maintain acceptable productivity level, as determined by work assignment and departmental standards. Comply with and follow all regulatory compliance areas, policies & procedures, and company best practices. Use your skills to make an impact Required Experience: High School Diploma or its equivalent Can type a minimum of 40 wpm Comprehend and apply principles of basic math while analyzing data and generating reports Proficiency with Microsoft Office applications including Word, Excel, Outlook, and Teams. Good logical thinking and decision-making skills Can follow strict timelines Communication with all levels of management Can work with multiple screens/systems ensuring attention to detail Time management skills and can work in a fast-paced environment Must read, write and speak fluent English Must have good and regular attendance Approximate percent of time required to travel: 0% Preferred Experience: Experience processing incoming referrals using eReferral portals and EPIC systems. 1 or more years customer service or other healthcare related experience; preference working in a home health environment Knowledge of the issues related to the delivery of home health services Working knowledge of Medicare enrollment and guidelines governing home health agencies Additional Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 29 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com. We like the way you work it · no gig iddy · Gotta bag it up · no gig iddy · We like the way you work it · no gig iddy · Gotta bag it up · no gig iddy · #J-18808-Ljbffr