Referral Services Assistant - Remote Eligible

Referral Services Assistant

This role enables associates to work virtually full-time in Indiana, Illinois, California, Texas, or Tennessee, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Work Schedule: An 8 hour shift based on the needs of the business. The hours of operation are Monday - Friday, between 7 am - 8 pm CST. Hours of operation on Saturday and Sunday are 8 am - 12pm CST.

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:

• Computer proficiency and the ability to navigate Microsoft Office products, especially Excel preferred.
• Strong communication and multi-tasking skills preferred.
• Call center experience preferred.
• Health insurance or medical office experience preferred.
• Schedule flexibility with the availability for overtime preferred.

For candidates working in person or virtually in California and Illinois, the salary range for this specific position is $18.54 to $30.34/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).

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.