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E-Referral Specialist Home Health

Job Details

Shift/Availability Requirements:

  • This is a part-time position scheduled for 29 hours a week.

  • Days/hours of availability: Tuesday and Wednesday from 12pm-5pm EST & Thursday and Saturday from 8am-6pm EST.

  • Available to work 2 holidays a year. Based on business needs, additional holiday coverage may be required.

As an E-Referral Specialist you will report to the E-Referral Supervisor. You will be an important part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. You will be responsible for data collection and 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 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.

Use your skills to make an impact

Required Experience:

  • 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

  • Approximate percent of time required to travel: 0%

Preferred Experience:

  • 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

APPLY HERE: E-Referral Specialist Home Health

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Temporary NSA Claims Data Intake Specialist

Job Details

 Temp NSA Claims Data Coordinator

Pay $17 per hour

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple – we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external – driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY

This position supports the department by reviewing, researching and preparing incoming client and provider submissions for next steps as it relates to No Surprise Act. Position will perform a variety of administrative duties to ensure proper processing of information timely and accurately to maintain departmental quality and turn around requirements.

DUTIES

  1. Analyze email and/or portal submissions to create cases, attach appropriate documentation, populate applicable required system fields, prepare submission accordingly for next steps.
    2. Perform timely data entry in all applicable systems and perform timely outreach to providers and/or clients to obtain necessary information.
    3. Perform claim and system research and determine next steps for appropriate routing, which may include adjustment of medical claims.
    4. Log information derived from written and verbal communications using detailed and accurate documentation.
    5. Meet required production and quality standards.
    6. Provide excellent customer service and strive to continuously improve service delivery according to departmental and corporate guidelines and principles.
    7. Collaborate, coordinate, and communicate across disciplines and departments.
    8. Ensure compliance with HIPAA regulations and requirements.
    9. Demonstrate Company’s Core Competencies and values held within.
    10. Please note due to the exposure of PHI sensitive data — this role is considered to be a High-Risk Role.
    11. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.


JOB SCOPE: The incumbent works under general supervision in a self-directed and results oriented manner. The incumbent works within established standards and procedures, relying on a broad range of knowledge gained through experience to complete job responsibilities. Work involves support tasks with moderate to high complexity with more complex issues referred to higher levels.

COMPENSATION

The salary range for this position is $17 per hour.  Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.  This position is also eligible for health insurance, 401k and bonus opportunity.

Requirements

REQUIREMENTS

* Minimum High School Diploma or GED
* Minimum 1 year experience in healthcare environment required, experience with medical claims processing highly desired
* Knowledge of word processing and spreadsheet software, MS Office, required.
* Excellent communication, organization and attention to detail skills
* Ability to follow through and work under deadlines
* Service oriented, flexible and ability to work under pressure
* Works well in both individual and team environments.
* Required licensures, professional certifications, and/or Board certifications as applicable
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

APPLY HERE: Temporary NSA Claims Data Intake Specialist

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Customer Service Specialist

Job Details

Are you detail-oriented, love solving problems, and enjoy helping people? Compex Legal Services is looking for a Customer Service Specialist to join our growing team. In this role, you’ll be the go-to support for our clients—making sure their orders are accurate, timely, and handled with care.

About Us

Compex is the nation’s leading provider of record retrieval solutions. We partner with top law firms and major insurance carriers to streamline the process of retrieving, summarizing, and delivering records. By helping clients access information faster, we empower them to make smarter decisions. Our team is expanding, and we’re excited to welcome driven professionals who want to grow with us.

What You’ll Do

  • Respond to client inquiries and provide regular order updates

  • Accurately enter client requests and verify order details

  • Confirm facility locations and ensure all documentation is complete

  • Monitor open orders to keep turnaround times on track

  • Maintain accurate records and ensure all information is logged properly

What You’ll Bring

  • Excellent communication and customer service skills

  • Sharp attention to detail and organizational strength

  • Strong time management and ability to prioritize tasks

  • Critical thinking skills to troubleshoot and resolve issues

  • A proactive, team-oriented mindset with a positive attitude

  • Comfort working independently in a remote environment

  • High school diploma or equivalent (required)

Why Join Compex?

  • 100% remote—work from the comfort of your home

  • A fast-growing, industry leader with nationwide impact

  • Supportive, collaborative team environment

  • Training provided—no legal background needed

  • Clear opportunities for growth and career advancement

 

APPLY HERE: Customer Service Specialist

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Personal Emergency Response Assoc. – Part Time Evening

Job Details

Connect America and our family of brands, including Lifeline, have helped aging individuals and at-risk populations live safely and independently in their homes for more than 40 years. As North America’s largest independent provider of connected care, we deliver a growing portfolio of innovative technologies that help bridge the gap between healthcare providers, individuals, and their care partners. Our easy-to-use solutions support health and safety in a way that leads to enhanced quality of life, earlier interventions, reduced hospitalizations and peace of mind for an estimated 10 million lives every year. Together, we are enabling independence and redefining the global home healthcare market. 

Connect America has been recognized as one of Philly Happening’s Best Places to Work. Our award-winning customer service team has received the Best Service Award from Today’s Caregiver. In addition, our healthcare division was named Top Ten Home Healthcare Solutions Provider in 2019 & 2020.

At Connect America, we treat all our customers and team members ethically and respectfully, creating relationships built on trust. We work as supportive team members, developing customer solutions in a collaborative manner. If you are a dedicated, compassionate team player, come be a part of an organization that makes a positive difference in the lives of those we serve.

Our headquarters are located close to the city of Philadelphia, in Bala Cynwyd, PA. Learn more at www.connectamerica.com.

Job Purpose

To answer incoming telephone calls and alarms from elderly and medically at-risk individuals, referred to as Subscribers, and triage their needs with designated responders, including non-emergency and emergency responders, to obtain the appropriate level of assistance in a timely manner.

Responsibilities

Respond to incoming calls and alarms by identifying the type of help required and coordinating timely and appropriate assistance according to established protocols and procedures.

  • Ensure that all customer interactions are conducted in a professional and caring manner resulting in a high level of customer service.

Obtain requested revisions to Subscriber data and ensure updates are accurately entered into the appropriate data management system, Mastermind.

Perform off-phone tasks as required, including call back queue work, in accordance with established protocols.

Troubleshoot maintenance alarms, when applicable, and home communicator issues to help ensure the Subscriber’s service remains functional and uninterrupted.

  • Meet departmental standards for after-call work, average handle time, and case quality.
  • Adhere to all company and departmental policies and practices.
  • Ensure that all required training is completed within expected timeframes.

Demonstrate behaviors that contribute to a productive, supportive, and caring work environment.

Education, Experience, and Qualifications

High school diploma or equivalent required; GED evidence required.

Call center or customer service experience. Professional and courteous telephone manner.

Fluency in English with excellent verbal communication skills.

Proficient computer and Microsoft Windows skills, including the ability to navigate multiple systems, use standard office applications, enter information accurately, and troubleshoot routine technology issues with minimal assistance.

Deep compassion and empathy for elderly and medically at-risk individuals is highly desirable.

Ability to handle routine and repetitive tasks at a varying pace.

Ability to maintain composure in stressful situations.

Satisfactory completion of all required pre-employment screenings, including background check, drug test, CORI check, and fingerprinting.

For remote positions, we require a professional work environment that includes a quiet, distraction-free workspace, a private area to ensure confidentiality and security when handling sensitive information, and reliable internet access to support seamless communication and work activities. The company will provide the necessary equipment required for employees to perform their job duties. Employees are responsible for maintaining company-provided equipment in good working condition, using it appropriately, and promptly reporting any issues, damage, or malfunction. Employees must also provide and maintain a reliable high-speed internet connection that meets company-defined requirements. Proof of internet speed meeting company standards is required prior to hire and may be revalidated as needed to ensure ongoing performance and service reliability. Remote employees must perform all work from within the United States 100% of the time. Any long-term relocation between states must be reviewed and approved by the company in advance.

This posting represents multiple Part-Time evening Shift openings.

Available schedules may vary. Candidates will work with the hiring manager during the interview process to review available schedules across the week and determine the best fit based on operational needs and availability.

APPLY HERE: Personal Emergency Response Assoc. – Part Time Evening

 
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