Referral Specialist

About us

Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized virtual care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend.

About Us

Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Pomelo Care recently acquired The Doula Network, a national network of in-person birth doulas, to support its mission of transforming maternal and infant health by providing doula services to every birthing person. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend.

Role Description

Your North Star: Enroll clients referred to Pomelo’s doula network by health plans, providers, and doulas.

As a Referral Specialist, you will be responsible for documenting, enrolling, and matching referrals for doula care to doulas within the Pomelo Care doula network. You will also educate clients on the benefits of doula care. The ideal candidate will possess excellent verbal and written communication skills, an eye for detail and efficiency, the ability to establish rapport with clients and external partners, and the ability to understand and follow new processes.

• 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.

Who you are

• Fluent in Spanish
• 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 and flexible vacation policy

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 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 to $55,000. We expect most candidates to fall in the middle of the range.
 
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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.