Healthcare Referral Specialist – Fast-Paced Support

Well Care Health; Wilmington (NC); On-site; USD 42,000 - 64,000; Full time

Job summary

Well Care Health in Wilmington, NC is seeking a Sales Support Specialist to coordinate regional referral coverage and manage intake through standardized criteria. You will monitor referrals, validate SOC/ROC packets, and ensure timely handoffs across branch teams while maintaining privacy and HIPAA compliance.

Responsibilities include reviewing documentation, tracking missing items, and supporting Home Health and Hospice referrals to optimize care continuity and regional performance.

Qualifications

• Two years of computer experience, preferably in healthcare.
• Prior experience in customer service, referral intake, portal management, or medical insurance verification preferred.
• Must be able to communicate clearly and professionally; proficient with common office software.

Responsibilities

• Monitors assigned referral portals and reviews incoming referrals for designated branches or regions.
• Applies standardized clinical, capacity, payer, service-area, and operational criteria to accept, decline, or escalate referrals within 15 minutes of receipt.
• Retrieves, reviews, and validates SOC and ROC referral packets including demographics, insurance, physician, orders, and face-to-face documentation.
• Completes referral handoffs through Mosai platform and designated channels according to procedures.
• Tracks referral disposition, missing documentation, escalations, and outstanding requirements through completion.
• Supports Home Health and Hospice referral coordination and identifies potential non-billable discharges.

Skills

Customer service

Portal management

Microsoft Office

Microsoft Teams

EMR systems

Communication

Education

High School Diploma or equivalent

Tools

EMR systems

Referral portals

Job description

Well Care Health in Wilmington, NC is seeking a Sales Support Specialist to coordinate regional referral coverage and manage intake through standardized criteria. You will monitor referrals, validate SOC/ROC packets, and ensure timely handoffs across branch teams while maintaining privacy and HIPAA compliance.

Responsibilities include reviewing documentation, tracking missing items, and supporting Home Health and Hospice referrals to optimize care continuity and regional performance.