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Referral Services Assistant

at Elevance Health in SPRINGFIELD, Illinois, United States

Job Description

Referral Services Assistant

Location : This is a remote role. The ideal candidate will live within 50 miles of an Elevance Health PulsePoint location in Illinois, Tennessee, Indiana or California .

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, Saturday and Sunday 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 :

+ Travels to worksite and other locations as necessary.

+ Typing skills and ability to navigate Microsoft Office Suite.

+ Call center experience preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $18.54 to $30.32/hr.

Location : California

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.

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
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Job Posting: JC259795000

Posted On: May 16, 2024

Updated On: Jun 14, 2024

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