E-Referral Specialist Home Health

Become a part of our caring community Shift/Availability requirements:This is a full time position scheduled 40 hours, 5 days a week for 8 hour shifts and is not a set schedule.Days of availability are Wednesday-Sunday, scheduled for 8 hour shifts between the hours of 7:30am-7:30pm CST.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 you will be responsible for: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.)Help with authorizations.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 equivalentCan type a minimum of 40 wpmComprehend and apply principles of basic math while analyzing data and generating reportsGood logical thinking and decision-making skillsCan follow strict timelinesCommunication with all levels of managementCan work with multiple screens/systems ensuring attention to detailTime management skills and can work in a fast-paced environmentMust read, write and speak fluent EnglishMust have good and regular attendanceApproximate percent of time required to travel: 0%Preferred Experience:Patient referral and insurance verification experienceMinimum 1 year customer service or other healthcare related experience; preference working in a home health environmentKnowledge of the issues related to the delivery of home health servicesWorking knowledge of Medicare enrollment and guidelines governing home health agenciesAssociates degreeAdditional 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 Hours40Pay RangeThe 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 yearDescription of BenefitsHumana, 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.Application Deadline: 04-07-2026 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 aide