PruittHealth

Community Manager

• Manage all incoming referrals from selected key referral sources
• Evaluate referrals for admission to PruittHealth using clinical experience and understanding of Home Health agencies
• Support Community Relations Representatives in sustaining business partnerships with referral sources
• Review patient referrals and respond within productivity response expectations
• Complete referral documentation accurately, maintaining a 1% or less data entry error rate
• Manage incoming calls and respond before the third ring
• Assign the appropriate next person in the referral management process
• Verify insurance and eligibility when assigned
• Work closely with the clinical team until admission is scheduled
• Attend morning huddle calls
• Collaborate with the revenue cycle team regarding payors and verification/authorization requirements
• Escalate issues or barriers to the manager
• Review physician orders and follow up with referral sources for clarification or additional information
• Identify objections, concerns, and entry barriers; provide information and offer alternatives when services cannot be provided
• Process and document referrals not accepted for admission, including specific reasons
• Access multiple electronic health systems to receive referrals
• Understand daily agency statuses across staffing, payor, and clinical abilities
• Manage points of contact across assigned agencies
• Partner with sales partners, administrators, and clinical managers
• Support further referral processing, vet payors, and conduct welcome calls when needed
• Perform other related duties as directed by the supervisor

Explore Community Referral Specialist at PruittHealth. Review requirements and application details.

Community Referral Specialist

• Manage incoming referrals from key referral sources
• Evaluate referrals for admission to PruittHealth
• Review patient referrals and respond within productivity expectations
• Complete referral documentation and maintain a 1% or less data entry error rate
• Manage incoming calls and respond before the third ring
• Assign the appropriate next person in the referral management process
• Verify insurance and eligibility when assigned
• Work with the clinical team until admission is scheduled
• Attend morning huddle calls
• Collaborate with the revenue cycle team on payors and verification/authorization requirements
• Escalate issues or barriers to the manager
• Review physician orders and obtain clarifications or additional information
• Identify objections, concerns, and entry barriers; provide information and alternatives
• Process and document referrals not accepted for admission
• Access multiple electronic health systems to receive referrals
• Monitor agency statuses across staffing, payor, and clinical abilities
• Partner with sales partners, administrators, and clinical managers
• Support referral processing, vet payors, and conduct welcome calls when needed
• Perform other related duties as directed by the supervisor