Remote Referral Coordinator I

Elevance Health (Anthem); Chicago (IL); Híbrido; USD 24.000 - 40.000; Jornada completa

Descripción de la vacante

Elevance Health is seeking a Referral Specialist I in the United States (Illinois/Virginia) for a hybrid/virtual role with occasional in-office training sessions. You will support a clinical team by managing referrals, pre-authorization, and coordination with hospitals, physicians, and patients.

Shifts run between 7 AM and 8 PM Central time, with in-person requirements as needed. Minimum requirements include a HS diploma or GED and 1 year of experience in a high-volume patient/customer service

Formación

• Requires HS diploma or GED and at least 1 year of experience in a high-volume, interactive customer service or call center environment.
• Knowledge of medical terminology strongly preferred.
• Experience in healthcare industry preferred.

Responsabilidades

• Initiates and manages clinical referrals for pre-authorization.
• 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 if necessary.
• Assigns escalated referrals to staff as appropriate.
• Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams (CT, MRI, MRA, PET, et.) following established process and procedures.
• Responds to inbound calls initiating exam requests following established processes, meets quality and production standards.
• Contacts physician offices as needed to obtain demographic information or related data.
• Enter(s) referrals, documents communications and actions in system.

Conocimientos

Customer service

Medical terminology

Call center experience

Educación

HS diploma or GED

Descripción del empleo

Elevance Health is seeking a Referral Specialist I in the United States (Illinois/Virginia) for a hybrid/virtual role with occasional in-office training sessions. You will support a clinical team by managing referrals, pre-authorization, and coordination with hospitals, physicians, and patients.

Shifts run between 7 AM and 8 PM Central time, with in-person requirements as needed. Minimum requirements include a HS diploma or GED and 1 year of experience in a high-volume patient/customer service