- 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.
- Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center environment; or any combination of education and experience which would provide an equivalent background.
- Knowledge of medical terminology preferred.
- 35 WPM, Data Entry, knowledge of computer skills preferred.
- Pharmacy experience preferred.
-
Referral Specialist I
1 week ago
Elevance Health Indianapolis, United States· Referral Specialist · Location: This is a non-hybrid position, 100% in the office. This position is for Indianapolis, IN. The selected candidate must reside within 50 miles or one hour commute from our Indianapolis, Indiana Pulse Point location. · The Referral specialist is re ...
-
Referral Specialist I
1 week ago
Elevance Health Indianapolis, United States· Referral Specialist · Location: This is a non-hybrid position, 100% in the office. This position is for Indianapolis, IN. The selected candidate must reside within 50 miles or one hour commute from our Indianapolis, Indiana Pulse Point location. · The Referral specialist ...
-
Referral Specialist I
1 week ago
Elevance Health Indianapolis, United States· BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Thro ...
-
Medical Referral Specialist
1 week ago
Professional Management Enterprises Indianapolis, United StatesJob Description · Job Description**Remote Position · We are in need of a specialist with experience in medical referral experience to provide the following services: · -Provide systems access to our client's Government associates, subcontractors, and government staff with appropr ...
-
Industrial Electrician
1 week ago
Omega Ventures Marion, United States"TOP EMPLOYER IN THE REGION - EXCITING TASKS IN AUTOMATION TECHNOLOGY. We are currently seeking an Industrial Electrician (m/f/d) for our client, a specialist in automation technology printing systems, at their location in Bönnigheim. The position is to be filled immediately and ...
-
Nursing specialist Gfb/mini job
2 weeks ago
Emerald Enterprises Greenwood, IN, United States Freelance"Right in the heart of life," the DOMICIL Group ensures the well-being of our residents at over 45 locations with over 5,500 dedicated colleagues in Greenwood, IN. · We are a family-owned and operated company and believe that trust is built through actions, not promises. That's w ...
-
Clinical Licensed Therapist
1 week ago
Oak Street Health Inc. Indianapolis, United StatesCompany: Oak Street Health · Title: Clinical Licensed Therapist (LCSW) - Behavioral Health Specialist · Role Description: · The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and to provide evidence-based short-term psychothe ...
-
Reentry Support Specialist
1 week ago
Volunteers of America Ohio-Indiana Indianapolis, United States$1,000-Sign On Bonus Volunteers of America Ohio & Indiana seeks energetic, self-motivated, dynamic professionals to join its expanding team. VOAOHIN is dedicated to helping those in need rebuild their lives and reach their full potential. As an organization stretching across Ohio ...
-
Medical Device Sales Representative
4 days ago
Medical Careers, Inc. Indiana, United StatesPosition Overview: · We are currently seeking a dynamic and experienced outside B2B/medical/dental sales representative to join our team in Indianapolis. In this role, you will be responsible for selling regenerative/biomaterials to Dental Specialists across Indiana & Michigan. · ...
-
rn emergency room
1 day ago
Sigma Inc Indianapolis, IN , USA, United StatesASC RN Emergency Room - Indianapolis, IN - 13 Weeks Contract · Sigma Healthcare Team is currently looking for an RN Emergency Room Onsite at Indianapolis, IN. · Shift: 14:00 - 02:30 · Responsibilities: Administer nursing care to ill, injured, or disabled patients. · Diagnose an ...
-
Reentry Support Specialist
1 week ago
Volunteers of America Ohio-Indiana Indianapolis, United StatesVolunteers of America Ohio & Indiana seeks energetic, self-motivated, dynamic professionals to join its expanding team. VOAOHIN is dedicated to helping those in need rebuild their lives and reach their full potential. As an organization stretching across Ohio and Indiana, we have ...
-
physician assistant
5 days ago
Greene County General Hospital , IN, United StatesProvides medical care to patients of varying types and acuity and responsible for the continuous and comprehensive management of a broad range of health services including orthopedics, sports medicine, and neurology. Utilizes the knowledge and skill acquired through specialized t ...
-
Care Coordinator
23 hours ago
UnitedHealthcare Indianapolis, United StatesJob Description · At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, m ...
-
Senior Outreach Care Specialist
1 week ago
Elevance Health Indianapolis, United States· Senior Outreach Care Specialist · Location: Hybrid in Indianapolis, IN · The Senior Outreach Care Specialist is responsible for ensuring that appropriate member treatment plans are followed on complex cases and for proactively identifying ways to improve the health of our memb ...
-
Service and Processing Specialist
1 week ago
Indy Gov Indianapolis, United StatesService and Processing Specialist · Print ) · Apply · Service and Processing Specialist · Salary · $42,412.50 Annually · Location · IN 46204, IN · Job Type · Full Time · Job Number · 08196 · Department · Marion County Community Corrections · Opening Date · 02/21/2024 · Clos ...
-
Program Specialist and Health Coach
1 week ago
Conner Insurance Indianapolis, United StatesJOB SUMMARY AND PURPOSE · The Program Specialist and Health Coach will work collaboratively with the Spire team and its Clients to deliver well-being programming and health coaching to Participants. They will utilize their wellness expertise at Client sites to educate and coach I ...
-
community well care coordinator
1 week ago
UnitedHealth Group Inc. Indianapolis, IN , USA, United StatesAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more resp ...
-
Critical Incident Consultant
1 week ago
Elevance Health Indianapolis, United States· Location: This position will work a hybrid model (remote and office). Ideal candidates will live in the state of Indiana and reside within 50 miles the PulsePoint on 220 Virgina Ave. · Responsible for the development and ongoing management of one or more external client facing ...
-
Wellness Specialist 24/25 SY
1 week ago
Indiana Public Schools Indianapolis, United StatesTITLE: Wellness Specialist - USS Support Cadre · WHO WE ARE: · Indianapolis Public Schools (IPS) is a student-focused, innovative educational organization committed to academic excellence. Our mission is to empower and educate all students to think critically, creatively, and res ...
-
patient service specialist prn
5 days ago
Concentra Indianapolis, IN , USA, United StatesOverview · Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time ...
Referral Specialist I - Indianapolis, United States - Elevance Health
Description
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies.
Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health.
Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
Referral SpecialistLocation:
This is a non-hybrid position, 100% in the office. This position is for Indianapolis, IN. The selected candidate must reside within 50 miles or one hour commute from our Indianapolis, Indiana Pulse Point location.
The Referral specialist 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:
Minimum Requirements:
Preferred Skills, Capabilities, and Experience:
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.
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.