E-Referral Specialist Home Health

E-Referral Specialist

Become a part of our caring community

Shift/Availability Requirements:

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

Associates degree

Work at Home Requirements 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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.…