Referral Specialist I (axium Pr)

Elevance Health

San Juan, PR, US
Hybrid
Manage clinical referrals for pre-authorization
Liaison between hospitals and physicians
Verify insurance coverage for imaging exams
Carelon, a member of Elevance Health, is dedicated to making healthcare more integrated, personalized, and affordable by connecting various health services and expertise

Job Summary

  • Carelon, a member of Elevance Health, is dedicated to making healthcare more integrated, personalized, and affordable by connecting various health services and expertise.
  • The Referral Specialist I supports clinical teams by managing referrals, verifying insurance, and acting as a liaison among multiple healthcare stakeholders.
  • Elevance Health offers a hybrid workforce strategy, competitive total rewards, and a culture focused on personal and professional growth.

Matching Summary

Carelon, a member of Elevance Health, is dedicated to making healthcare more integrated, personalized, and affordable by connecting various health services and expertise.

Skills & Requirements

Must-have

  • Manage clinical referrals for pre-authorization
  • Liaison between hospitals and physicians
  • Verify insurance coverage for imaging exams
  • Handle high-volume customer service calls
  • Hybrid work schedule with in-office days

Nice-to-have

  • Knowledge of medical terminology
  • Fully bilingual English/Spanish
  • Strong verbal and written communication
  • Proficient with digital tools and platforms
  • Empathy and persistence in problem solving

Key Requirements

  • HS diploma or GED
  • Minimum 1 year customer service or call center experience
  • Bilingual English/Spanish preferred

Work Rights

Candidates must be within reasonable commuting distance or have accommodation

Tailored Resume

Cover Letter