Referral Coordinator I

CVS Health Corporation; Springfield (IL); Remote; USD 23,000 - 43,000; Full time

Job summary

Oak Street Health is seeking a Referral Coordinator I to manage referrals and diagnostic orders for patients, ensuring timely access to care. You will update EMR data, communicate with patients, and obtain necessary authorizations for third‑party requests. Collaboration with payer portals and OSH teams is essential to maintain quality metrics.

The role emphasizes remote work readiness, strong computer skills, and professional communication to support a superior patient experience.

Qualifications

• High School diploma or equivalent required.
• 1 year of general office administrative experience preferred.
• Experience with processing referrals is preferred.
• Proficient PC skills and knowledge of basic Google Suite tools.

Responsibilities

• Process referrals and diagnostic orders for patients.
• Update patient information in the EMR and communicate with patients.
• Obtain authorizations for third‑party requests and submit clinical documents.
• Interact with payer portals and ensure timely access to care.
• Support center teams and interdepartmental collaboration to meet performance metrics.

Skills

Customer service

Phone etiquette

Organizational skills

Multitasking

Computer literacy

Medical terminology knowledge

US work authorization

Education

High School diploma or equivalent

Tools

Google Suite

Microsoft Excel

Job description

We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Title

Referral Coordinator I

Company

Oak Street Health

Location

Remote

Role Description

The Referral Coordinator is a vital part of the Patient Experience & Service Operations (PXSO) and delivers an unmatched patient experience. This role is responsible for managing the day-to-day referrals and diagnostic orders for Oak Street Health patients to see specialist providers. This role interacts with center teams and payer partners to ensure patients are able to access needed care in a timely manner.Core Responsibilities:Responsible for processing referrals and diagnostic ordersUpdate patient information and make necessary updates/changes in electronic medical recordCommunicate referral and authorization information to patientsObtain required authorization for all third-party requestsRequest medical records, submit clinical documents, and upload documents into the electronic medical record platformAssemble information concerning the patient’s clinical background and referral needsResponsible for access to and information in multiple payer portalsNavigate and produce results in multiple electronic platformsVerify non-preferred specialists and facilities for all referralsContribute to the quality of the OSH Specialty Finder by appropriately submitting necessary changesSupport collaboration with OSH field teams through the Alfred Line and CareReqsInteract professionally with internal and external partners and customersMeet standard performance metricsMeet quality standardsOther duties as assigned

Remote Work Requirements

Remote Work Requirements:Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systemsPrior remote work experienceAbility to obtain high-speed internet and hardwire equipment to router/modemDistraction-free and private remote work environment required as well as reliable dependent care during working hoursAbility to provide own transportation for instances where on-site support is required for employees located within 50 miles of a physical OSH location/center

Call Center/Home Office Locations

Call center/home office locations: Downers Grove, IL; Chicago, IL; Charlotte, NC

Ability to participate in classroom-style remote training sessionsAn understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environmentThe career path from Referral Coordinator I to Referral Coordinator II includes:

A minimum tenure of 6 months in the Referral Coordinator I roleConsistently demonstrates strong problem-solving abilities, effective communication, and a thorough understanding of customer needsDemonstration of a strong desire to learn and grow in their roleMeet \"Exceptional\" performance metrics for a minimum of 3 consecutive months (targets are subject to change with 30-day advance notice) for all job skills:Average Handle Time for responsibilities such as call managementUnavailable timeQuality MetricsSchedule Adherence (adhering to your assigned work schedule set by your supervisor based on business needs [shift arrival and departure times, and assigned lunch/break times])CareReq responsivenessDemonstrate proven reliability and satisfactory attendanceThe progression path from Level I, Level II, and Level III positions within Service Delivery is a structured path that encourages coordinators to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Each role level builds upon the skills learned in the previous one, with the ultimate goal of enabling coordinators to provide superior support and contribute to the overall success of the team.

Remote Work Requirements

Remote Work Requirements:Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systemsPrior remote work experienceAbility to obtain high-speed internet and hardwire equipment to router/modemDistraction-free and private remote work environment required as well as reliable dependent care during working hoursAbility to provide own transportation for instances where on-site support is required for employees located within 50 miles of a physical OSH location/centerAbility to participate in classroom-style remote training sessionsAn understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment

What are we looking for?

High School diploma or equivalent required1 year of general office administrative experienceExperience with processing referrals is preferredFlexible and positive attitudeProfessional phone etiquetteOrganized and able to manage competing prioritiesStrong computer skills and knowledge/familiarity with Microsoft ExcelStrong communication and customer service skillsResourcefulness in problem-solvingAble to follow through on delegated tasksHealth plan or provider order entry experience preferredBasic knowledge of medical terminology and/or medical coding preferredProficient PC skillsUS work authorizationAnticipated Weekly Hours40

Time TypeFull time

Pay Range

The typical pay range for this role is:$17.00 - $31.30This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Benefits

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on

Benefits Moments

We anticipate the application window for this opening will close on: 12/25/2026

Qualified applicants with arrest or conviction records will be considered in accordance with all federal, state and local laws.