Remote E-Referral Specialist — Part-Time Coordinator

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

Résumé du poste

Humana, Inc. is seeking an E-Referral Specialist to manage referrals, ensure eligibility, and coordinate with branches to keep processes on track. This role supports continuity of care and data reporting in a fast-paced environment.

Part-time role with specific weekend shifts and holiday coverage; remote work may be required with possible travel to Humana offices for training or meetings.

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 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 40 wpm

Data analysis

Time management

Communication

Detail orientation

Formation

Associates degree

Outils

EPIC systems

eReferral portals

Microsoft Office

Description du poste

Humana, Inc. is seeking an E-Referral Specialist to manage referrals, ensure eligibility, and coordinate with branches to keep processes on track. This role supports continuity of care and data reporting in a fast-paced environment.

Part-time role with specific weekend shifts and holiday coverage; remote work may be required with possible travel to Humana offices for training or meetings.