Remote E-Referral Coordinator

Humana Inc; Denver (CO); Remote; USD 40,000 - 52,000; Full time

Job summary

Humana Inc. is seeking an E-Referral Specialist to serve as the initial contact point for referrals, ensuring accurate data collection, documentation, and adherence to compliance standards.

This remote role supports the CenterWell Home Health referral process and interacts with branch, sales, and leadership for timely decisions. Responsibilities include monitoring multiple e-referral systems, managing alerts, and following up on referrals.

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%

Responsibilities

• 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.

Skills

Typing speed 40 wpm

MS Office proficiency

Strong communication

Time management

Attention to detail

Analytical thinking

Education

High School Diploma or equivalent

Associates degree

Tools

EPIC systems

eReferral portals

Job description

Humana Inc. is seeking an E-Referral Specialist to serve as the initial contact point for referrals, ensuring accurate data collection, documentation, and adherence to compliance standards.

This remote role supports the CenterWell Home Health referral process and interacts with branch, sales, and leadership for timely decisions. Responsibilities include monitoring multiple e-referral systems, managing alerts, and following up on referrals.