Humana · 6 hours ago
E-Referral Specialist Home Health Part Time
Remote South Carolina
Full-time, Part-time
Remote
Entry Level
$39K/yr - $49K/yr
1+ years exp
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Responsibilities
Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications.
Monitor email continuously for request to pull referrals from all applicable referral systems. Perform timely follow-up and manage all related communication.
Quickly scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.)
Assists, as needed, with authorizations to ensure all are submitted in a timely manner.
Monitors status of all referrals received, follow up with each throughout process, reports on status weekly.
Communicate with branch, sales, leadership via email and/or phone for status updates and referral decisions as required.
Daily manage and update ERST log with all referrals and ROCs decisions.
Maintain acceptable productivity level, as determined by work assignment and departmental standards.
Comply with and adhere to all regulatory compliance areas, policies and procedures and company best practices.
Qualification
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Required
High School Diploma or its equivalent; Associates degree preferred
Minimum 1 year customer service or other healthcare related experience; preference working in a home health environment
Demonstrate ability to type 40 wpm
Ability to comprehend and apply principles of basic math while analyzing data and generating reports
Good logical thinking and decision making skills
Able to work well under pressure and adhere to strict timelines
Possess excellent customer service skills; ability to communicate professionally and effectively with all levels of management
Strong attention to detail with ability to multi-task and work with multiple screens/systems.
Good time management skills and are able to work in a fast-paced environment
Strong adaptability to change
Must read, write and speak fluent English
Must have good and regular attendance
Preferred
Healthcare insurance verification experience preferred
Good knowledge of the issues related to the delivery of home health services preferred
Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred
Benefits
Medical
Dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$6.82B2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B
Leadership Team
Bruce D. Broussard
President and Chief Executive Officer
Jim Rechtin
President & CEO
Recent News
2024-12-18
2024-12-18
Company data provided by crunchbase
