Hybrid Referral Specialist I – Pre-Auth Support

Elevance Health; Cape Town; Hybrid; ZAR 50 000 - 200 000; Full time

Job summary

A healthcare company is seeking a Referral Specialist I in Cape Town. This role supports clinical teams by managing referrals, ensuring quality service and communication with various stakeholders. The ideal candidate will have a high school diploma and experience in a customer service environment, with strong problem-solving and communication skills. The position requires hybrid work, with in-office attendance 1-2 days per week.

Benefits

Incentive bonus programs

Medical, dental, and vision benefits

Paid Time Off

Qualifications

• Minimum of 1 year of experience in a high-volume customer service environment.
• Proficient in handling multiple tasks in a fast-paced environment.
• Comfort with digital tools and platforms.

Responsibilities

• Initiates and manages clinical referrals for pre-authorization.
• Acts as a liaison between hospital, health plans, physicians, and patients.
• Verifies insurance coverage and completes pre-authorization process.

Skills

Strong verbal and written communication skills

Attention to details

Ability to multi-task

Problem-solving skills

Knowledge of medical terminology

Education

High School diploma or GED

Job description

A healthcare company is seeking a Referral Specialist I in Cape Town. This role supports clinical teams by managing referrals, ensuring quality service and communication with various stakeholders. The ideal candidate will have a high school diploma and experience in a customer service environment, with strong problem-solving and communication skills. The position requires hybrid work, with in-office attendance 1-2 days per week.