Referral Services Assistant (US)

Location : This is a remote role. The candidate must reside within 50 miles of an Elevance Health Pulse Point location in Illinois, Texas, Idaho, Georgia, Nevada or California.

Work Schedule : An 8 hour shift based on the needs of the business. The hours of operation are Monday - Friday:

• 8:30am - 4:30pm PST

• 9:30am - 5:30pm MST

• 10:30am - 6:30pm CST

• 11:30am - 7:30pm EST

The Referral Services Assistant is responsible for providing support to 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 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 :

• Medical terminology preferred.

• Ability to navigate Microsoft Office Suite preferred.

• Ability to travel to worksite preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $16.85 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 (all benefits are subject to eligibility requirements).

Job Level: Non-Management Non-Exempt

Position Title: Referral Services Assistant (US)

Job Description:

About the company

Elevance Health, Inc. is an American health insurance provider.