E-Referral Specialist Home Health

Part‑time Position (29 hours per week)

Days/hours of availability

Tuesday and Wednesday from 12pm–5pm EST & Thursday and Saturday from 8am–6pm EST.

Holiday coverage

Available to work 2 holidays a year. Additional holiday coverage may be required based on business needs.

• Job Overview
• E-Referral Specialist
• The initial contact point for clients or referral sources to promote continuity of care.

Responsible for data collection, documentation, compliance, and follow‑up on the initial referral process and decision.

Essential Functions

• Monitor multiple e‑referral systems to identify new referrals and manage alerts and notifications.
• Monitor email for requests 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 the process, and report on status weekly.
• Communicate with branch, sales, leadership by email or phone for status updates and referral decisions.
• Daily manage the 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.
• Use Your Skills to Make an Impact
• Required Experience
• High School Diploma or its equivalent.
• Typing speed of at least 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.
• Ability to follow strict timelines.
• Effective communication with all levels of management.
• Ability to work with multiple screens/systems while maintaining attention to detail.
• Time‑management skills and ability to work in a fast‑paced environment.
• Fluent English, both written and spoken.
• Good attendance record.
• Travel required: 0%.
• Preferred Experience
• Experience processing incoming referrals using e‑Referral portals and EPIC systems.
• At least 1 year of customer service or other healthcare‑related experience; preference for experience in a home health environment.
• Knowledge of issues related to the delivery of home health services.
• Working knowledge of Medicare enrollment and guidelines governing home health agencies.
• Work at Home Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self‑provided internet service must meet the following criteria: a download speed of at least 25 Mbps and an upload speed of at least 10 Mbps.

Wireless, wired cable or DSL connection is suggested.

In some roles the minimum recommended internet speed may not be sufficient for business needs; Humana reserves the right to require employees to upgrade their internet service if necessary.

Work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information.

While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.

• Scheduled Weekly Hours
• Pay Range

The compensation range below reflects a good‑faith estimate of starting base pay for full‑time (40 hours per week) employment at the time of posting.

Pay will vary based on geographic location and individual experience, education, certifications, etc.

Description of Benefits

Humana, Inc. and its affiliates offer competitive benefits that support whole‑person well‑being.

Associate benefits include medical, dental, and vision coverage, 401(k) retirement savings plan, paid time off, company and personal holidays, paid parental and caregiver leave, short‑term and long‑term disability, life insurance, and more.

About us

• About Center
• Well
• Home

Health: Center Well Home Health specializes in personalized, comprehensive home care for patients managing chronic conditions or recovering from injury, illness, surgery, or hospitalization.

Care teams include nurses, physical therapists, occupational therapists, speech‑language pathologists, home health aides, and medical social workers, all working together to help patients rehabilitate, recover, and regain independence.

About Center Well, a Humana company: Center Well is a leading healthcare services business focused on creating integrated and differentiated experiences that put patients at the center of everything we do.

The result is high‑quality healthcare that is accessible, comprehensive, and personalized.

Center Well is part of Humana Inc. (NYSE: HUM).

Equal Opportunity Employer

Humana does not discriminate against employees or applicants for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status.

Humana takes affirmative action and bases all employment decisions only on valid job requirements.

This policy applies to all employment actions, including recruitment, hiring, promotion, transfer, layoff, termination, pay, training, and more.

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