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 Specialist
Job Family: Customer Care
Type: Full time
Date Posted:Oct 24, 2023
Req #: JR93341
Location:
TN, BRENTWOOD
PA, SEVEN FIELDS
VA, ARLINGTON
FL, MIAMI
MA, BOSTON
IN, INDIANAPOLIS
OH, CINCINNATI
NY, NEW YORK
CT, ROCKY HILL
CA, RANCHO CORDOVA
LA, BATON ROUGE
MI, WIXOM
MD, ANNAPOLIS
DC, WASHINGTON
NV, LAS VEGAS
MN, MENDOTA HEIGHTS
TN, KNOXVILLE
MO, SPRINGFIELD
MO, COLUMBIA
VA, ASHBURN
OH, COLUMBUS
NC, CARY
WA, LAKEWOOD
WI, MADISON
NE, LINCOLN
DE, WILMINGTON
NE, OMAHA
OH, SEVEN HILLS
ID, MERIDIAN
ID, MERIDIAN
RI, SMITHFIELD
MA, HINGHAM
NC, WINSTON
GA, ATLANTA
DC, WASHINGTON
IL, DEERFIELD
VA, RICHMOND
FL, TAMPA
KY, SHELBYVILLE
FL, ALTAMONTE SPRINGS
NY, Lake Success
FL, TALLAHASSEE
KS, TOPEKA
VA, ROANOKE
NY, Lake Success
CO, COLORADO SPRINGS
FL, JACKSONVILLE
CA, WOODLAND HILLS
MD, BALTIMORE
WI, Waukesha
NJ, MORRISTOWN
MO, JEFFERSON CITY
TN, MEMPHIS
OH, MASON
NY, ALBANY
CA, SACRAMENTO
CA, WALNUT CREEK
KY, LOUISVILLE
PA, HERMITAGE
WA, SEATTLE
NH, MANCHESTER
TX, GRAND PRAIRIE
IL, CHICAGO
NY, EAST SYRACUSE
TX, AUSTIN
MI, DEARBORN
TX, DENISON
VA, CHESAPEAKE
CA, GLENDALE
TN, NASHVILLE
MN, GILBERT
LA, METAIRIE
NY, MIDDLETOWN
AR, LITTLE ROCK
IL, SPRINGFIELD
GA, MIDLAND
TX, HOUSTON
VA, NORFOLK
CA, LOS ANGELES
CT, WALLINGFORD
MO, ST LOUIS
CA, COSTA MESA
MD, HANOVER
NJ, ISELIN
CA, CERRITOS
OH, MASON
IL, CHICAGO
CO, DENVER
NV, LAS VEGAS
PA, HARRISBURG
CA, PALO ALTO
ME, SOUTH PORTLAND
NY, LATHAM
OH, COLUMBUS
HI, KAPOLEI
GA, AUGUSTA
IA, W DES MOINES
MA, WOBURN
MA, NEWTON 55 CHAPEL ST
Description
Referral Specialist I
Location: Remote, within 50 miles of an Elevance location
Three possible shifts:
1) Monday – Friday from 10 am – 7 pm CST
2) Sunday – Thursday from 8 am – 5 pm CST
3) Tuesday – Saturday from 8 am – 5 pm CST
A proud member of the Elevance Health family of companies, Carelon Post Acute Solutions, formerly myNEXUS, is the leader in health resource optimization, focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve. The Referral Specialist I is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals.
How you will make an impact:
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.
Enters referrals, documents communications and actions in system.
Minimum Requirements:
Preferred Skills, Capabilities and Experiences:
Previous customer service experience is a plus.
Previous data entry experience is a plus.
* For candidates working in person or remotely in the *below locations , the salary* range for this specific position is $16.19 to $29.15
Locations : California; Colorado; Nevada; New York; Washington State; Jersey City, NJ
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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
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, 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. 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 – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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]) or call 1-877-204-7664
*****APPLY TODAY & START TOMORROW***** If you need a job and you’re tired of going through long interview processes, search...
Apply For This JobPutaway Associate job details: location:Rocklin, CA salary:$16 per hour date posted:Tuesday, August 17, 2021 experience:Entry Level job type:Temp to Perm...
Apply For This JobThis job posting is for a Dev10 position that requires you to agree to relocate anywhere in the United States....
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> The Data Entry Clerk is responsible for recording confidential client information into multiple departmental databases....
Apply For This JobLab Clinical Supt Tech II Job ID 234655 Location Strong Memorial Hospital Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> The future of Texas and the world is in our classrooms. At Texans Can Academies,...
Apply For This Job