Remote E-Referral Specialist (Part-Time)

Humana, Inc.; Salt Lake City (UT); À distance; USD 40 000 - 52 000; Temps partiel

Résumé du poste

Humana, Inc. is seeking an E-Referral Specialist to manage the initial referral process, data collection, documentation, and compliance. This role reports to the E-Referral Supervisor and promotes continuity of care for clients and referral sources.

The position focuses on monitoring referral systems, communicating with teams, and ensuring timely follow-up and decision-making in a remote/hybrid environment.

Qualifications

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

Connaissances

Typing speed

Data analysis

Microsoft Office

Communication

Time management

Formation

High School Diploma

Associates degree

Outils

EPIC

eReferral portals

Microsoft Office

Description du poste

Humana, Inc. is seeking an E-Referral Specialist to manage the initial referral process, data collection, documentation, and compliance. This role reports to the E-Referral Supervisor and promotes continuity of care for clients and referral sources.

The position focuses on monitoring referral systems, communicating with teams, and ensuring timely follow-up and decision-making in a remote/hybrid environment.