Humana · 1 day ago
E-Referral Specialist Home Health
United States
Full-time
Remote
Entry Level
$40K/yr - $52K/yr
1+ years expHumana 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.
Health CareHealth InsuranceInsuranceVenture Capital
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
Required
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
Preferred
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
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-13
2026-01-09
2026-01-07
Company data provided by crunchbase