E-Referral Specialist, Home Health

🔥 4 minutes ago

🇺🇸 United States – Remote

💵 $40k - $52.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CenterWell Senior Primary Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

📋 Description

• Report to the E-Referral Supervisor • Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications • Monitor email requests to pull referrals from applicable referral systems • Perform follow-up and manage related communication • Scan documentation to determine patient eligibility for services, including service area, orders, and insurance • Monitor the status of all referrals and follow up throughout the process • Report referral status weekly • Communicate with branch, sales, and leadership by email or phone regarding status updates and referral decisions • Manage the ERST log daily with all referrals and ROCs decisions • Maintain acceptable productivity levels according to work assignment and departmental standards • Follow regulatory compliance areas, policies and procedures, and company best practices • Serve as the initial contact point for clients or referral sources to promote continuity of care • Collect and document referral information, manage compliance, and follow up on initial referral processes and decisions

🎯 Requirements

• High School Diploma or its equivalent • Can type 40 words per minute or more • 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 accuracy 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 • Availability to work 40 hours per week, Monday-Friday 9am-6pm EST • Occasional weekend coverage required • Must be available to work at least 2 holidays per year, with additional holiday coverage as needed • Home internet with at least 25 Mbps download and 10 Mbps upload speed • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Occasional travel to Humana offices for training or meetings may be required • Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse for candidates applying from a Florida work location • Preferred: Experience processing incoming referrals using eReferral portals and EPIC systems • Preferred: 1 or more years customer service or other healthcare related experience • Preferred: Experience working in a home health environment • Preferred: Knowledge of issues related to delivery of home health services • Preferred: Working knowledge of Medicare enrollment and guidelines governing home health agencies • Preferred: Associates degree

🏖️ Benefits

• Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Remote work • Flexible work arrangement for home-based employees • Global whole-person wellness and healthcare support