Referral Specialist II

CareBridge; Atlanta (GA); Remote; USD 10,000 - 60,000; Full time

Job summary

CareBridge is seeking a Referral Specialist II to support a clinical team in managing administrative aspects of clinical referrals. This virtual role promotes flexibility and work-life balance, requiring a high school diploma and at least one year of relevant experience. The position offers a competitive salary and benefits, making it an excellent opportunity for entry-level candidates in the healthcare field.

Benefits

Health coverage

401(k)

Incentives

Equity

Qualifications

• At least 1 year of experience in a high-volume healthcare customer service or call center.
• Knowledge of ICD-10 coding preferred.
• Background in pharmacy, especially home infusion or specialty pharmacy, strongly preferred.

Responsibilities

• Manage intake calls and assist physicians.
• Review and assign clinical referrals.
• Verify insurance coverage and document communications.

Skills

Knowledge of medical terminology

Customer service

Communication

Education

HS diploma or GED

Tools

Spreadsheets

Smartsheet

Job description

Join to apply for the Referral Specialist II role at CareBridge.

This role offers a salary range provided by CareBridge, with actual pay based on skills and experience. Discuss with your recruiter for more details.

Base pay range

$19.99/hr - $31.30/hr

BioPlus Specialty Pharmacy, now part of CarelonRx (formerly IngenioRx), is a member of the Elevance Health family. We provide comprehensive services focused on whole health, leveraging clinical expertise, digital capabilities, and broad access to specialty medications.

Referral Specialist II - Home Infusion/Specialty Pharmacy

This is a virtual role, allowing full-time remote work with required in-person training sessions. It promotes flexibility, productivity, and work-life balance.

The Referral Specialist II supports a clinical team by managing administrative aspects of clinical referrals.

How you will make an impact

• Serve as a first-level SME, handling intake calls, production work, physician assistance, and special projects.
• Act as liaison among hospitals, health plans, physicians, patients, vendors, and referral sources.
• Review complex referrals for completeness and follow up for additional information.
• Assign referrals to appropriate staff.
• Verify insurance coverage and obtain necessary authorizations.
• Contact physician offices for demographic or related data.
• Document all communications and actions in the system.

Minimum Requirements

HS diploma or GED and at least 1 year of experience in a high-volume healthcare customer service or call center, or equivalent education and experience.

Preferred Skills and Experience

• Knowledge of medical terminology and plan-specific guidelines; ICD-10 coding preferred.
• Experience with spreadsheets and Smartsheet preferred.
• Background in pharmacy, especially home infusion or specialty pharmacy, strongly preferred.
• Experience in fast-paced customer service environments preferred.

Location and Compensation

Location: California

The salary range for this position is $19.99 to $31.30, with additional benefits including health coverage, incentives, equity, and 401(k). Compensation varies based on experience, education, skills, and geographic location.

Additional Information

Elevance Health values diversity and equal opportunity employment. We require certain roles to be vaccinated against COVID-19 and Influenza, unless an exemption is provided. We follow all applicable laws regarding employment and background checks.

About Elevance Health

We are a Fortune 25 company dedicated to improving lives and communities through healthcare. We foster a culture of growth, aligned with our values and strategic goals.

Work Environment

Our hybrid work model requires associates to work onsite at least once a week unless specified as virtual. Specific onsite requirements will be discussed during hiring.

Legal and Compliance Notices

We comply with all relevant laws regarding employment, vaccination, and background checks. Applicants needing accommodations can contact [e-mail].

Job Details

• Seniority Level: Entry level
• Employment Type: Full-time
• Job Function: Healthcare Provider
• Industries: Hospitals and Healthcare

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