Referral Specialist Jobs

Referral Specialist

Pomelo Care

Location:
United States

Category:
Customer Service

Contract Type:
Not provided

Salary:

45000.00 - 55000.00 USD / Year

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Job Description:

Enroll clients referred to Pomelo’s doula network by health plans, providers, and doulas. Responsible for documenting, enrolling, and matching referrals for doula care to doulas within the Pomelo Care doula network. Will also educate clients on the benefits of doula care.

Job Responsibility:

Conduct outbound calls and digital outreach (SMS, email) to referred clients to drive new client enrollments, meeting quality and productivity requirements
Document all incoming referrals and interactions in systems of record with timely and accurate updates
Match clients with existing doulas in the Pomelo Care doula network
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 clients 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
Confirm client’s health plan eligibility details via automatic clearinghouse and online health insurance portals
Participate in training and development opportunities to stay current on healthcare trends and regulations

Requirements:

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

Nice to have:

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

What we offer:

Competitive healthcare benefits
Generous and flexible vacation policy

Additional Information:

Job Posted:
December 11, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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