Remote Referral Specialist I — Flexible Hours

Elevance Health, Inc.; Tampa (FL); Hybrid; USD 24,000 - 40,000; Full time

Benefits offered by this job

Comprehensive benefits package

Stock purchase plan and 401(k)

Job summary

Elevance Health is seeking a Referral Specialist I to support a clinical team by handling administrative referrals, pre-authorization, and coordination between hospital, health plans, physicians, patients, and vendors. This hybrid role requires strong attention to detail, empathy, and effective communication across channels.

This full-time position offers a flexible schedule with in-person training sessions as needed, and the ability to work remotely within commuting distance to an Elevance

Qualifications

• HS diploma or GED and a minimum of 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.
• Inbound call center experience preferred.

Responsibilities

• 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 following established process.
• 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.
• Enters referrals, documents communications and actions in system.
• Multitasks across calls, texts, facsimiles, and electronic queues while taking notes and speaking to customers.

Skills

Medical terminology

Healthcare experience

Inbound call center

Job description

Elevance Health is seeking a Referral Specialist I to support a clinical team by handling administrative referrals, pre-authorization, and coordination between hospital, health plans, physicians, patients, and vendors. This hybrid role requires strong attention to detail, empathy, and effective communication across channels.

This full-time position offers a flexible schedule with in-person training sessions as needed, and the ability to work remotely within commuting distance to an Elevance