[Hiring] Referral Specialist @Pomelo Care

Role Description

Your North Star: Enroll patients referred to Pomelo Care by health plans, providers, and hospital systems.

As a Referral Specialist, you will be responsible for:

• Documenting, processing, and enrolling referrals made to Pomelo Care by outside organizations.
• Educating patients on Pomelo Care clinical and social resources available to them through their health plan.
• Conducting outbound calls and digital outreach (SMS, email) to referred patients to drive new patient enrollments, meeting quality and productivity requirements.
• Documenting all incoming referrals and interactions in systems of record with timely and accurate updates.
• Coordinating with health plan case managers and external healthcare providers to share updates on referrals and achieve enrollment goals.
• Tracking, monitoring, and enrolling referrals, ensuring timely processing and communication with all parties.
• Managing inbound calls from potential patients and external partners, answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs.
• Achieving member enrollment goals as driven by company KPIs.
• Working with families to schedule appointments and follow-up care as needed.
• Participating in training and development opportunities to stay current on healthcare trends and regulations.

Qualifications

• Fluent in Spanish is a plus, but not required.
• Earned your Bachelor's degree in social work, healthcare, or a related field.
• Excellent customer service and communication skills.
• Experience working with various healthcare referral systems.
• Are internet-connected, able to work remotely.
• Familiar with working with people assigned to Medicaid health plans.
• Passionate about changing the current landscape of healthcare.
• Strong organizational, documentation, and time-management skills.
• Ability to work independently and as part of a team.

Requirements

• Experience working in a fast-paced and dynamic startup environment.
• Experience in administrative and revenue driving roles.
• Ability to scope and tackle ambiguous problems.

Benefits

• Competitive healthcare benefits.
• Generous vacation policy.
• Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship).

Company Description

At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

Our salary ranges are based on paying competitively for our company’s size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $45,000-$55,000.

We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash.