Referral Specialist

About the role

Pomelo Care is the leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. We combine proactive, 24/7 clinical care with technology that helps us reach patients earlier, identify risks sooner, and deliver personalized care throughout their journey. Our team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide. 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.

Requirements

• 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)
• #LI-Remote
• Potential Fraud Warning
• Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing an

Benefits

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at pomelocare? Share your experience