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E-Referral Specialist Home Health

$40k - $52.3k

Humana

Become a part of our caring community Join our team as an E-Referral Specialist and be the first point of contact in our referral process, ensuring seamless continuity of care for clients and referral sources. Shift/Availability Requirements Part‑time, 29 hours per week. Days/hours of availability: Tuesday & Wednesday 12:00‑5:00 p.m. EST, Thursday & Saturday 8:00‑6:00 a.m. EST. Work 2 holidays per year; additional holiday coverage may be required. Essential Functions Monitor multiple e‑referral systems to identify new referrals, manage alerts and notifications. Check email for requests to pull referrals and perform follow‑up communication. Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.). Track status of all referrals, follow up throughout the process, and report weekly. Communicate with branch, sales, and leadership via email or phone for status updates and referral decisions. Daily manage the ERST log with all referrals and ROC decisions. Maintain productivity levels as defined by departmental standards. Comply with all regulatory compliance areas, policies & procedures, and company best practices. Use Your Skills to Make an Impact Required Experience High School Diploma or equivalent. Typing speed of at least 40 wpm. Basic math skills for data analysis and report generation. Proficiency with Microsoft Office (Word, Excel, Outlook, Teams). Logical thinking and decision‑making skills. Ability to follow strict timelines. Communication with all levels of management. Multi‑screen/systems proficiency with attention to detail. Time‑management skills in a fast‑paced environment. Fluent English reading, writing, and speaking. Reliable attendance. Travel requirement: 0% Preferred Experience Experience with e‑Referral portals and EPIC systems. 1+ year customer service or healthcare‑related experience; preference for home‑health environment. Knowledge of home health service delivery issues. Working knowledge of Medicare enrollment and home‑health agency guidelines. Associate’s degree. Work at Home Requirements Home or hybrid employees must provide internet with a minimum download speed of 25 Mbps and upload speed of 10 Mbps. A dedicated, interruption‑free work space is required to protect HIPAA information. Occasional travel for training or meetings may be necessary. Scheduled Weekly Hours 29 hours Pay Range $40,000 – $52,300 per year (full‑time reference). Description of Benefits Comprehensive benefits support overall well‑being: medical, dental, vision, 401(k), paid time off, holidays, parental and caregiver leave, short‑term and long‑term disability, life insurance, and more. Equal Opportunity Employer Humana does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Humana complies with all applicable federal civil‑rights laws and offers free language interpreter services. #J-18808-Ljbffr

Vacancy posted 3 days ago
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