Referral Services Assistant - Chicago, United States - Elevance Health
Description
Job Family:
CUS > Care Support
Type:
Full time
Date Posted:
May 08, 2024
Anticipated End Date:
May 31, 2024
Reference:
JR116645
Description
Referral Services Assistant
Location:
Within 50 miles of an Elevance pulse point in
TN, IL, IN or CA
Hours:
Monday - Friday, from 1 pm - 10 pm
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:
- Previous WFH experience preferred.
- Strong navigation skills and independent thinker.
- Ability to work under pressure.
- Be efficient in customer service and able to multitask while on phones.
- Proficient with Microsoft Office Suite.
Locations:
California
- 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.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with 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.
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.
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