Referral Services Assistant

Elevance Health; Chicago (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a Referral Services Assistant to work virtually. This role involves managing clinical referrals, acting as a liaison among various stakeholders, and maintaining databases. Candidates should have a high school diploma and at least one year of healthcare experience. Proficiency in Microsoft Office and strong communication skills are preferred. A comprehensive benefits package is included.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• Minimum 1 year of experience in a healthcare environment.
• Equivalent education and experience accepted.

Responsibilities

• Initiates and manages clinical referrals for participants.
• Acts as a liaison between hospital, health plans, and other referral sources.
• Reviews referrals for completeness and follows up for additional information.
• Assigns referrals to staff.
• Verifies insurance coverage and obtains authorizations.
• Maintains database of insurance companies.
• Contacts physician offices for demographic information.
• Enters referrals and documents communications.

Skills

Computer proficiency

Strong communication

Multi-tasking

Call center experience

Schedule flexibility

Education

High School Diploma

Tools

Microsoft Office

Excel

Job description

Position Title: Referral Services Assistant

Location: Virtual (Indiana, Illinois, California, Texas, or Tennessee)

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.

Work Schedule: An 8-hour shift based on the needs of the business. The hours of operation are Monday - Friday, between 7 am - 8 pm CST. Hours of operation on Saturday and Sunday are 8 am - 12 pm CST.

The Referral Services Assistant is responsible for providing support to the clinical team to facilitate the administrative components of clinical referrals for case management or disease management services to include home health, nutritional counseling, etc.

How you will make an impact:

• 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 the system.

Minimum Requirements:

• Requires a HS diploma 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:

• Computer proficiency and the ability to navigate Microsoft Office products, especially Excel preferred.
• Strong communication and multi-tasking skills preferred.
• Call center experience preferred.
• Health insurance or medical office experience preferred.
• Schedule flexibility with the availability for overtime preferred.

The salary range for this specific position is $16.01 to $30.32/hr. 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.

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.