[Remote] E-Referral Specialist Home Health

Note: The job is a remote job and is open to candidates in USA. Humana is a leading provider of healthcare services, and they are seeking an E-Referral Specialist to enhance the referral process. The role involves managing e-referral systems, ensuring timely follow-ups, and maintaining communication with various stakeholders to promote continuity of care. 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 Skills High School Diploma or its equivalent; Associates degree preferred Demonstrated 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 Approximate percent of time required to travel: 0% Performs other related duties as assigned Patient referral and insurance verification experience Minimum 1 year customer service or other healthcare related experience; preference working in a home health environment Good knowledge of the issues related to the delivery of home health services Working knowledge of Medicare enrollment and guidelines governing home health agencies Benefits Medical, dental and 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 and long-term disability Life insurance Company Overview Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship Humana has a track record of offering H1B sponsorships, with 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.