E-Referral Specialist, Home Health

🔥 52 minutes ago

🇺🇸 United States – Remote

💵 $40k - $52.3k / year

⏱ Part Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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

• 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 ROC decisions • Maintain acceptable productivity levels according to work assignment and departmental standards • Follow regulatory compliance requirements, policies, procedures, and company best practices • Serve as the initial contact point for clients or referral sources to promote continuity of care • Report to the E-Referral Supervisor

🎯 Requirements

• High School Diploma or its equivalent • Ability to type 40 words per minute or more • Ability to comprehend and apply basic math principles while analyzing data and generating reports • Proficiency with Microsoft Office applications including Word, Excel, Outlook, and Teams • Good logical thinking and decision-making skills • Ability to follow strict timelines • Ability to communicate with all levels of management • Ability to work with multiple screens/systems while ensuring accuracy to detail • Time management skills and ability to work in a fast-paced environment • Must read, write, and speak fluent English • Good and regular attendance • Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse for candidates applying from a Florida work location • Experience processing incoming referrals using eReferral portals and EPIC systems (preferred) • 1 or more years of customer service or other healthcare-related experience, preferably 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) • Associate degree (preferred)

🏖️ Benefits

• Medical, dental, and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Personal wellness and healthcare decision support • Remote work arrangement • Occasional travel to Humana offices for training or meetings

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