Remote E-Referral Coordinator

Humana Inc; Carson City (NV); Remote; USD 40,000 - 52,000; Full time

Job summary

Humana Inc. is seeking an E-Referral Specialist to manage referrals across systems, ensure eligibility, and coordinate with branches and leadership. The role requires attention to detail, timely communication, and adherence to compliance standards.

Reporting to the E-Referral Supervisor, you will handle data collection, documentation, and follow-up on initial referral processes and decisions in a remote setting with occasional travel. Strong English proficiency and 40 wpm typing are essential.

Qualifications

• High School Diploma or equivalent.
• Can type 40 words per minute or more.
• 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.

Responsibilities

• 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; 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, 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.

Skills

Typing 40 wpm

MS Office proficiency

Data entry & documentation

Time management

Communication across levels

Education

High School Diploma or equivalent

Associates degree

Tools

EPIC systems

eReferral portals

Job description

Humana Inc. is seeking an E-Referral Specialist to manage referrals across systems, ensure eligibility, and coordinate with branches and leadership. The role requires attention to detail, timely communication, and adherence to compliance standards.

Reporting to the E-Referral Supervisor, you will handle data collection, documentation, and follow-up on initial referral processes and decisions in a remote setting with occasional travel. Strong English proficiency and 40 wpm typing are essential.