Hybrid Referral Specialist – Healthcare Admin

The Elevance Health Companies, Inc.; Chicago (IL); Hybrid; USD 55,104,000 - 82,380,000; Full time

Job summary

Elevance Health in Chicago, IL is seeking a Referral Specialist I to support the clinical team by handling administrative aspects of referrals in a hybrid work model. The role includes on-site days at 8600 Bryn Mawr Avenue with a schedule between 11:30 AM and 8:00 PM Central, emphasizing accuracy, empathy, and effective communication with hospitals, physicians, patients, and plans.

This position provides opportunities to contribute to patient care at a Fortune 25 health company, balancing

Responsibilities

• Validate appeal requests and initiates and manages clinical referrals for pre-authorization.
• Manage and triage mail onsite and reviews referrals for completeness and follows up for additional information if necessary.

Job description

Elevance Health in Chicago, IL is seeking a Referral Specialist I to support the clinical team by handling administrative aspects of referrals in a hybrid work model. The role includes on-site days at 8600 Bryn Mawr Avenue with a schedule between 11:30 AM and 8:00 PM Central, emphasizing accuracy, empathy, and effective communication with hospitals, physicians, patients, and plans.

This position provides opportunities to contribute to patient care at a Fortune 25 health company, balancing