Referral Specialist

Описание вакансии

About us

Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system.

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. You will also educate patients on Pomelo Care clinical and social resources available to them through their health plan. The ideal candidate will possess excellent verbal and written communication skills, an eye for detail and efficiency, and the ability to establish rapport with patients and external partners.

• Conduct outbound calls and digital outreach (SMS, email) to referred patients to drive new patient enrollments, meeting quality and productivity requirements.
• Document all incoming referrals and interactions in systems of record with timely and accurate updates.
• Coordinate with health plan case managers and external healthcare providers to  share updates on referrals and achieve enrollment goals.
• Track, monitor, and enroll referrals, ensuring timely processing and communication with all parties.
• Manage inbound calls from potential patients and external partners, answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs.
• Achieve member enrollment goals as driven by company KPIs.
• Work with families to schedule appointments and follow-up care as needed.
• Participate in training and development opportunities to stay current on healthcare trends and regulations.

Who you are

• 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.

Bonus points if you have any of the following

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

Why you should join our team

By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it.

We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first. We also offer:

• 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)

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.

Potential Fraud Warning

Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information.

Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending in @pomelocare.com.

If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at careers@pomelocare.com  to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.