E-Referral Specialist Home Health

Humana, Inc.; Jackson (MS); À distance; USD 40 000 - 52 000; Temps partiel

Résumé du poste

Humana, Inc. is seeking an E-Referral Specialist to be the initial contact for referrals, promoting continuity of care. You will gather data, ensure compliance, and follow up on initial referral processes and decisions.

The role reports to the E-Referral Supervisor and involves data collection, documentation, and cross-system communication. It requires strong Microsoft Office skills and fluent English, with availability for 29 hours per week, Friday 8am-5pm EST and Sat/Sun 7am-5:30pm EST, plus

Qualifications

• 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.
• Approximate percent of time required to travel: 0%

Responsabilités

• Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications.
• Monitor email for requests to pull referrals from all applicable referral systems; perform follow-up and manage related communication.
• Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.).
• Monitor status of all referrals received and follow up with each throughout the process; report status weekly.
• Communicate with branch, sales, and leadership by email or phone for status updates and referral decisions.
• Daily management of ERST log with all referrals and ROC 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.

Connaissances

Typing 40 wpm

Basic math

MS Office

Communication

Time management

Fluent English

Attendance

Formation

High School Diploma or equivalent

Associates degree

Outils

EPIC systems

Description du poste

Become a part of our caring community

Availability requirements:

Part-time role: 29 hours per week.

Shift/Schedule: Friday from 8am-5pm EST & Saturday and Sunday from 7am-5:30pm EST.

Holidays: Must be available to work at least 2 holidays per year, with additional holiday coverage when needed based on business needs.

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, and 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 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

• 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.

Florida Background Screening Requirements: Notice for candidates applying to this position from a Florida work location, including Florida home-based work location. This position is subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse. For information about the screening process and requirements, visit: https://info.flclearinghouse.com.

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. 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 11-03-2026

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 aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources