Referral Services Assistant
Found in: beBee S US - 3 weeks ago
WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.
Referral Services Assistant
Job Family: Customer Care
Type: Full time
Date Posted:Apr 05, 2024
Anticipated End Date:Apr 19, 2024
Reference: JR111992
Location:
CA, CERRITOS
PA, SEVEN FIELDS
VA, ARLINGTON
FL, MIAMI
MA, BOSTON
IN, INDIANAPOLIS
OH, CINCINNATI
VA, RICHMOND
NY, NEW YORK
CT, ROCKY HILL
CA, RANCHO CORDOVA
NE, LINCOLN
TN, BRENTWOOD
DC, WASHINGTON
NV, LAS VEGAS
MN, MENDOTA HEIGHTS
TN, KNOXVILLE
MO, COLUMBIA
VA, ASHBURN
OH, COLUMBUS
NC, CARY
WA, LAKEWOOD
WI, MADISON
WV, CHARLESTON
DE, WILMINGTON
OH, SEVEN HILLS
ID, MERIDIAN
ID, MERIDIAN
RI, SMITHFIELD
NC, WINSTON
GA, ATLANTA
DC, WASHINGTON
IL, DEERFIELD
FL, TAMPA
FL, ALTAMONTE SPRINGS
FL, TALLAHASSEE
KS, TOPEKA
VA, ROANOKE
NY, Lake Success
CO, COLORADO SPRINGS
FL, JACKSONVILLE
CA, WOODLAND HILLS
WI, Waukesha
NJ, MORRISTOWN
TN, MEMPHIS
OH, MASON
NY, ALBANY
CA, SACRAMENTO
CA, WALNUT CREEK
PA, HERMITAGE
KY, LOUISVILLE
NH, MANCHESTER
WA, SEATTLE
TX, GRAND PRAIRIE
IL, CHICAGO
TX, AUSTIN
MI, DEARBORN
VA, CHESAPEAKE
TN, NASHVILLE
MN, GILBERT
LA, METAIRIE
NY, MIDDLETOWN
PR, San Juan
IL, SPRINGFIELD
GA, MIDLAND
TX, HOUSTON
VA, NORFOLK
CA, LOS ANGELES
CT, WALLINGFORD
MO, ST LOUIS
GA, SAVANNAH
CA, COSTA MESA
MD, HANOVER
NJ, ISELIN
OH, MASON
IL, CHICAGO
CO, DENVER
NV, LAS VEGAS
CA, PALO ALTO
ME, SOUTH PORTLAND
NY, LATHAM
OH, COLUMBUS
HI, KAPOLEI
GA, AUGUSTA
IA, W DES MOINES
MA, WOBURN
MA, NEWTON 55 CHAPEL ST
Description
Referral Services Assistant
Location: Remote, within 50 miles of an Elevance pulse point
Hours: Monday - Friday from 8:00 am - 5:00 pm PST
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:
Travels to worksite and other locations as necessary.
Medical experience and Medical terminology preferred
Experience in a Utilization Management role.
Strong navigation skills
Independent thinker
Ability to work under pressure
Be efficient in customer service and able to multitask while on phones.
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.
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 accept.
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