Referral Coordinator/ Medical Records

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Referral Coordinator I for a remote position. You will support the PXSO team by coordinating referrals and authorizations, updating EMRs, and communicating with patients and payer partners to ensure timely access to care.

The role emphasizes strong computer skills, Excel proficiency, and excellent customer service. A high school diploma and at least one year of administrative experience are required, with full-time commitment and remote work eligibility.

Qualifications

• High School diploma or equivalent is required.
• At least 1 year of general office administrative experience.
• Strong communication and customer service skills.
• Proficient with Microsoft Excel.
• Ability to work full-time.

Responsibilities

• Update patient information in electronic medical records.
• Communicate referral and authorization details to patients.
• Request medical records and upload documents to EMR platform.
• Assemble patient clinical background and referral needs.
• Navigate and operate across multiple electronic platforms.
• Verify non-preferred specialists and facilities for referrals.

Skills

General office experience

Customer service

Phone etiquette

Microsoft Excel

Education

High School diploma or equivalent

Tools

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.

Referral Coordinator I

Remote

About the role

The Referral Coordinator is a vital part of the Patient Experience & Service Operations (PXSO) and delivers an unmatched patient experience. This role interacts with center teams and payer partners to ensure patients are able to access needed care in a timely manner.

Responsibilities

• Update patient information and make necessary updates/changes in electronic medical record
• Communicate referral and authorization information to patients
• Request medical records, submit clinical documents, and upload documents into the electronic medical record platform
• Assemble information concerning the patient’s clinical background and referral needs
• Navigate and produce results in multiple electronic platforms
• Verify non-preferred specialists and facilities for all referrals
• Contribute to the quality of the OSH Specialty Finder by appropriately submitting necessary changes
• Support collaboration with OSH field teams through the Alfred Line and CareReqs
• Interact professionally with internal and external partners and customers
• Meet standard performance metrics
• Meet quality standards

Remote Work Requirements

• Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systems
• Prior remote work experience
• Ability to obtain high-speed internet and hardwire equipment to router/modem
• Distraction-free and private remote work environment required as well as reliable dependent care during working hours
• Ability 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: Ability to participate in classroom-style remote training sessions
• An understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment

Career Path

The career path from Referral Coordinator I to Referral Coordinator II includes: A minimum tenure of 6 months in the Referral Coordinator I role. Consistently demonstrates strong problem-solving abilities, effective communication, and a thorough understanding of customer needs. Meet "Exceptional" performance metrics for a minimum of 3 consecutive months (targets are subject to change with 30-day advance notice) for all job skills:

Quality Metrics

Schedule 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])

Qualifications and Requirements

• High School diploma or equivalent required
• 1 year of general office administrative experience
• Flexible and positive attitude
• Professional phone etiquette
• Strong computer skills and knowledge/familiarity with Microsoft Excel
• Strong communication and customer service skills
• Health plan or provider order entry experience preferred
• Basic knowledge of medical terminology and/or medical coding preferred
• Full time

Salary

17.00 - $31.30 This 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. 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.

Benefits

• 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

We anticipate the application window for this opening will close on: 11/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.