Community Referral Specialist

PruittHealth

Community Referral Specialist managing patient referrals for PruittHealth. Collaborating with healthcare partners to facilitate admissions and maintaining high data entry accuracy.

Posted 6/2/2026full-timeNorcross • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

Manage all incoming referrals from a selection of key referral sources.
Evaluate referrals for admission to PruittHealth leveraging clinical experience and an understanding of Home Health agencies.
Engage with partners across disciplines, from external hospitals and healthcare systems to Pruitt administrators, clinical managers, and Community Relations Representatives.
Review patient referrals and respond on behalf of PruittHealth meeting productivity response expectations.
Accurately completes referral documentation as necessary to facilitate the admissions process.
Manages incoming calls and responds before the third ring.
Assigns the appropriate next person in the referral management process.
Verifies insurance and eligibility if assigned.
Works closely with clinical team until admission is scheduled.
Attends morning huddle calls.
Collaborates with revenue cycle team to ensure understanding of payors and requirements affecting verification/authorization.
Escalate issues or barriers to manager.
Reviews physician orders and follows up with referral source for clarifications or additional information if needed.
Identifies objections, concerns, or other entry barriers and provides information in response to address those issues.
Processes and documents referrals that are not accepted for admission, indicating specific reason for non-acceptance.
Access multiple electronic health systems to receive referrals.
Understand daily agency statuses across staffing, payor, and clinical abilities and manage points of contact across assigned agencies.
Partner closely with sales partners, admins, and clinical managers.
Support further processing referrals, vet payors, and conduct welcome calls when needed.
Perform other related duties as necessary and as directed by supervisor.

Requirements

What you’ll need

High School Diploma or equivalent
One (1) year experience working in a healthcare environment, or any equivalent combination of experience and training which provides the required knowledge, skills, and abilities.
Clerical and Computer skills required including experience with data entry
Knowledge of basic medical terminology

Benefits

Comp & perks

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ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data entryreferral managementinsurance verificationclinical documentationmedical terminology

Soft Skills

communicationcollaborationproblem-solvingorganizational skillsinterpersonal skills

Certifications

High School Diploma