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 healthcare company that specializes in providing comprehensive home care services. The E-Referral Specialist will play a crucial role in the referral process, ensuring continuity of care through effective data collection, documentation, and communication with clients and referral sources.
Health CareHealth InsuranceInsuranceVenture Capital
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.)
Help with authorizations
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
Qualification
Required
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
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
Approximate percent of time required to travel: 0%
Preferred
Patient referral and insurance verification experience
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
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
Emilie Fritsch
Senior User Interface Design Engineer
Recent News
2026-02-04
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2026-02-04
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2026-02-04
Company data provided by crunchbase