Referral Specialist I

Elevance Health

Nevada, US
Base: $17.69 to $26.54 ph; bonus/equity: not speci...
Hybrid
Manage clinical referrals for pre-authorization
Verify insurance coverage and complete pre-authorization
Handle high-volume inbound calls and communications
The Referral Specialist I acts as a liaison between hospitals, health plans, physicians, patients, vendors, and other referral sources to manage clinical referrals and pre-authorizations

Job Summary

  • The Referral Specialist I acts as a liaison between hospitals, health plans, physicians, patients, vendors, and other referral sources to manage clinical referrals and pre-authorizations.
  • Elevance Health offers a comprehensive benefits package including incentive and recognition programs, equity stock purchase, and 401(k) contributions subject to eligibility requirements.
  • The company promotes a hybrid workforce strategy with flexibility for virtual work and requires vaccination for certain patient/member-facing roles.

Matching Summary

The Referral Specialist I acts as a liaison between hospitals, health plans, physicians, patients, vendors, and other referral sources to manage clinical referrals and pre-authorizations.

Salary

Base: $17.69 to $26.54 per hour; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package including 401(k) match and stock purchase plan

Skills & Requirements

Must-have

  • Manage clinical referrals for pre-authorization
  • Verify insurance coverage and complete pre-authorization
  • Handle high-volume inbound calls and communications
  • Use digital tools and platforms proficiently
  • Work virtually with occasional in-person training
  • Multi-task in fast-paced environment

Nice-to-have

  • Knowledge of medical terminology
  • Prior healthcare experience
  • Strong verbal and written communication skills
  • Empathy and persistence in customer service
  • Critical thinking and problem-solving skills

Key Requirements

  • High school diploma or GED
  • Minimum 1 year customer service or call center experience
  • Ability to work assigned shifts between 6:30 AM and 6:00 PM Pacific time
  • Compliance with vaccination requirements for COVID-19 and Influenza

Work Rights

Not specified

Tailored Resume

Cover Letter