E-Referral Specialist, Home Health

Role Overview

• 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.

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.
• Experience processing incoming referrals using eReferral portals and EPIC systems
• 1 or more years 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

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance and many other opportunities