Referral Specialist

Pomelo Care • New York, NY

10h • Remote

About The Position

At Pomelo Care, we are redefining the healthcare journey for women and children. As the leading virtual medical practice in our field, we provide a continuous circle of support—from the first steps of family building and the complexities of pregnancy to the nuances of postpartum, pediatric, and midlife care. We aren't just a clinic; we are a multidisciplinary engine of clinicians, engineers, and problem-solvers dedicated to closing the gaps in traditional care. By leveraging a high-touch, technology-driven platform, we identify risks early and deliver deeply personalized, 24/7 virtual care. We are here to prove that better data and patient-centered care lead to better outcomes, raising the standard of care for families nationwide.

Your North Star: Enroll patients referred to Pomelo Care by health plans, providers, and hospital systems.
As a Referral Specialist, you will be responsible for documenting, processing, and enrolling referrals made to Pomelo Care by outside organizations. You will also educate patients on Pomelo Care clinical and social resources available to them through their health plan. The ideal candidate will possess excellent verbal and written communication skills, an eye for detail and efficiency, and the ability to establish rapport with patients and external partners.

Requirements

• Earned your Bachelor's degree in social work, healthcare, or a related field.
• Excellent customer service and communication skills.
• Experience working with various healthcare referral systems.
• Are internet-connected, able to work remotely.
• Familiar with working with people assigned to Medicaid health plans.
• Passionate about changing the current landscape of healthcare.
• Strong organizational, documentation, and time-management skills.
• Ability to work independently and as part of a team.

Nice To Haves

• Fluent in Spanish is a plus, but not required.
• Experience working in a fast-paced and dynamic startup environment.
• Experience in administrative and revenue driving roles.
• Ability to scope and tackle ambiguous problems.

Responsibilities

• Conduct outbound calls and digital outreach (SMS, email) to referred patients to drive new patient enrollments, meeting quality and productivity requirements.
• Document all incoming referrals and interactions in systems of record with timely and accurate updates.
• Coordinate with health plan case managers and external healthcare providers to share updates on referrals and achieve enrollment goals.
• Track, monitor, and enroll referrals, ensuring timely processing and communication with all parties.
• Manage inbound calls from potential patients and external partners, answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs.
• Achieve member enrollment goals as driven by company KPIs.
• Work with families to schedule appointments and follow-up care as needed.
• Participate in training and development opportunities to stay current on healthcare trends and regulations.

Benefits

• Competitive healthcare benefits
• Generous vacation policy
• Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level