Elevance Health Hiring for Referral Services Assistant at Atlanta, Georgia Full Time

WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.

Referral Services Assistant

• Job Family: Customer Care

• Type: Full time

• Date Posted:Dec 01, 2023

• Req #: JR97457

Location:

• TN, NASHVILLE

• Minnesota, Mendota Heights

• Minnesota, Gilbert

• Louisiana, Metairie

• Ohio, Seven Hills

• New Jersey, Iselin

• Ohio, Mason

• Georgia, Atlanta

• Kentucky, Louisville

• Ohio, Columbus

• Tennessee, Nashville

• Indiana, Indianapolis

• Ohio, Cincinnati

• Rhode Island, Smithfield

• Florida, Tampa

• North Carolina, Winston

• Texas, Midland

• New Hampshire, Manchester

• District of Columbia, Washington

• District of Columbia

• North Carolina, Raleigh

• Delaware, Wilmington

• Iowa, West Des Moines

• Connecticut, Wallingford

• Virginia, Roanoke

• Texas, Houston

• Virginia, Richmond

• Texas, Grand Prairie

• Illinois, Chicago

• Wisconsin, Waukesha

• Missouri, St. Louis

• Maryland, Hanover

• Missouri, St Louis

• Florida, Miami

• Virginia, Norfolk

• Maine, South Portland

• New Jersey, Morristown

Description

Referral Services Assistant

Locations: Wallingford, CT; Washington, DC; Wilmington, DE; Miami, FL; Tampa, FL; Atlanta, GA; Midland, GA; West Des Moines, IA; Chicago-Willis Tower, IL; Indianapolis, IN; Louisville, KY; Metairie, LA; Hanover, MD; South Portland, ME; Gilbert, MN; Mendota Heights, MN; St. Louis, MO; Cary, NC; Winston Salem, NC; Lincoln, NE; Manchester, NH; Iselin, NJ; Morristown, NJ; Cincinnati, OH; Columbus, OH; Mason, OH; Seven Hills, OH; Smithfield, RI; Nashville, TN; Houston, TX; Grand Prairie, TX; Norfolk, VA; Richmond, VA; Roanoke, VA; Waukesha, WI; Charleston, WV

Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

Available shifts: Tues – Sat 9-6 CT or 10-7 CT or Sun—Thurs 9-6 CT or 10-7

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:

Primary duties may include, but are not limited to:

• 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. Travels to worksite and other locations as necessary.

Preferred Skills, Capabilities and Experiences:

• Knowledge of the UM patient referral process, eligibility, benefits and Health Plan regulations, HMO/UM functions, ICD-9/CPT coding strongly preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

• EEO Policy Statement

• Know Your Rights

• Pay Transparency

• Privacy Notice for California Residents

Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)

Need Assistance?

Email us ([email protected])