E-Referral Specialist Home Health

CenterWell • Colorado Springs, NV

1d • Remote

About The Position

As an E-Referral Specialist, you will be an important part of the referral process, serving as the initial contact point for clients or referral sources to promote continuity of care. This role involves data collection and documentation, ensuring compliance, and following up on the initial referral process and decision. The position is with CenterWell Home Health, which specializes in personalized, comprehensive home care for patients managing chronic conditions or recovering from injury, illness, surgery, or hospitalization. CenterWell, a Humana company, is a leading healthcare services business focused on integrated and differentiated experiences, providing high-quality, accessible, comprehensive, and personalized healthcare. CenterWell is the largest provider of senior-focused primary care, a leading provider of home healthcare, and a leading integrated home delivery, specialty, hospice, and retail pharmacy, focusing on whole health and addressing physical, emotional, and social wellness.

Requirements

• High School Diploma or its equivalent
• Can type a minimum of 40 wpm
• 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 attention 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
• Self-provided internet service with at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps (wireless, wired cable or DSL connection is suggested)
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Nice To Haves

• Working experience processing incoming referrals using eReferral portals and EPIC systems
• Minimum 1 year customer service or other healthcare related experience; preference working in a home health environment
• Knowledge of the issues related to the delivery of home health services
• Working knowledge of Medicare enrollment and guidelines governing home health agencies
• Associates degree

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, 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.

Benefits

• Medical benefits
• Dental benefits
• Vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term disability
• Long-term disability
• Life insurance
• Bi-weekly payment for internet expense for employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED