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PruittHealth
PruittHealth
H1B Visa SponsorHealthcareHealthcare InsuranceSenior Living
PruittHealth is a family-owned healthcare organization serving patients and families across the Southeast. Founded in 1969, the company provides skilled nursing, home health, hospice and palliative care, and senior living services. Its work spans healthcare delivery, senior care, and related healthcare services, with an emphasis on keeping families informed about care decisions and their loved ones’ progress.
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Community Referral Specialist — PruittHealth (Onsite)

Coordinate patient referrals and admissions for PruittHealth’s Home Health network. Work with insurers, clinical teams, referral sources, and provider partners to support timely admissions.

USUnited StatesOn-siteFull-timeJuniorNo degree requiredEnglish RequiredCommunity Manager

Description

  • Coordinate incoming referrals from designated sources
  • Assess referrals for admission using clinical experience and knowledge of Home Health services
  • Help Community Relations Representatives maintain referral-source partnerships
  • Review patient referrals and respond within established productivity targets
  • Complete referral records accurately while maintaining a data-entry error rate of 1% or less
  • Handle incoming calls and answer before the third ring
  • Route each referral to the appropriate next person in the management process
  • Verify insurance coverage and eligibility when assigned
  • Coordinate with the clinical team through scheduled admission
  • Participate in morning huddle calls
  • Work with the revenue cycle team on payor and verification or authorization requirements
  • Escalate barriers and issues to the manager
  • Review physician orders and contact referral sources for clarification or missing information
  • Recognize objections and access barriers, provide relevant information, and suggest alternatives when services are unavailable
  • Process and document referrals declined for admission, including the specific reasons
  • Use multiple electronic health systems to receive referrals
  • Track agency status across staffing, payor, and clinical capabilities
  • Manage contacts for assigned agencies
  • Collaborate with sales partners, administrators, and clinical managers
  • Assist with additional referral processing, payor review, and welcome calls as needed
  • Perform other related duties assigned by the supervisor

Requirements

  • High school diploma or equivalent
  • At least one year of healthcare-environment experience, or an equivalent combination of education and training providing the necessary knowledge and skills
  • Required clerical, computer, and data-entry skills
  • Working knowledge of basic medical terminology
  • Fluency with regulatory agencies, reimbursement systems, and levels of care
  • Knowledge of private insurance and Medicare coverage criteria, rules, and regulations
  • Ability to learn and use multiple electronic health systems and referral platforms
  • Willingness to participate in continuing education and maintain any required license or certification
  • Commitment to patient and resident rights, confidentiality, ethical conduct, regulatory and accreditation standards, and company policies
  • Strong communication and customer service skills when working with patients, families, visitors, referral sources, and provider networks

Benefits

  • PruittHealth provides equal employment opportunity regardless of race, color, religion, sex, national origin, disability, or veteran status.

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