- 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.
- 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.
- Previous WFH experience preferred.
- Strong navigation skills
- Independent thinker
- Ability to work under pressure
- Be efficient in customer service and able to multitask while on phones.
- Proficient with Microsoft Office Suite.
- May travel to worksite and other locations as necessary.
- Successful candidates must meet Elevance Work at Home requirements including hard-wired high-speed internet and a private secure workspace.
- 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 Companys sole discretion, consistent with the law.
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Referral Services Assistant - Newton, United States - Elevance Health
Description
Referral Services Assistant
Location: Within 50 miles of an Elevance pulse point
Hours: Tuesday - Saturday 10:00 am - 7:00 pm CST or Sunday - Thursday 7 am - 4 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:
Minimum Requirements:
Preferred Skills, Capabilities, and Experiences:
*** For candidates working in person or remotely in the below locations, the salary* range for this specific position is $16.85 to $30.32
Locations : California; Colorado; Hawaii; 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.
