Referral Services Assistant

The Elevance Health Companies, Inc.; Chicago (IL); Hybrid; USD 26,000 - 41,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k with company match

Equity stock purchase program

Paid time off and holidays

Job summary

Elevance Health is seeking a Referral Services Assistant to manage clinical referrals and coordinate communication among participants, providers, and payers. This role emphasizes accuracy, empathy, and efficient workflow in a hybrid environment.

The ideal candidate will have a HS diploma or equivalent with at least one year in a healthcare setting, and a proven ability to multitask in a high-volume environment.

Qualifications

• HS diploma or equivalent and minimum 1 year of experience in a healthcare environment.
• Experience in healthcare settings is preferred.
• Ability to multi-task in a fast-paced environment with strong attention to detail.

Responsibilities

• Initiates and manages clinical referrals for participants in disease management or health programs.
• Acts as liaison between hospital, health plans, physicians, patients, vendors and referral sources.
• Reviews referrals for completeness and follows up for additional information.
• Assigns referrals to staff and ensures proper documentation in system.
• Verifies insurance coverage and obtains authorizations from insurance plans.
• Maintains database of insurance companies for verification of coverage and requirements for patient eligibility.

Skills

Customer service

Communication

Job description

Position Title

Referral Services Assistant

Location

This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Hours

9 AM to 5:30 PM Central time, Monday through Friday. Training hours may vary.

Job Responsibilities

• Initiates and manages clinical referrals for participants registered in a disease management or health program.
• Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
• Reviews referrals for completeness and follows up for additional information.
• Assigns referrals to staff.
• Verifies insurance coverage and obtains authorizations from insurance plans.
• Maintains database of insurance companies for verification of coverage, accepted plans, and requirements for patient eligibility.
• Contacts physician offices to obtain demographic information or related data.
• Enters referrals and documents communications in system.
• Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
• Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
• Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
• Performs other duties as assigned.

Minimum Qualifications

• Requires a HS diploma or equivalent and a minimum of 1 year of experience in a healthcare environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences

• Travels to worksite and other locations as necessary.
• Customer service experience is strongly preferred.

Compensation and Location

• For candidates working in person or virtually in the below locations, the salary* range for this specific position is $18.58 to $30.40.
• Location(s): California, Illinois.

Benefits

• In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k)+match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Company Culture

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Workforce Strategy

We are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health.

We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Equal Employment Opportunity

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Accommodations

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Disability & Fair Chance

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.