Referral Specialist - Carelon (Remote)

Skills for Chicagoland's Future
Chicago, IL Remote Full Time
POSTED ON 8/16/2023 CLOSED ON 12/10/2023

Job Posting for Referral Specialist - Carelon (Remote) at Skills for Chicagoland's Future

Your Talent. Our Vision. At Carelon, a proud member of the Elevance Health family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve.

The Referral Specialist I is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various Carelon services.

Location: Remote

Primary duties may include, but are not limited to:

  • 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.

Qualifications

  • Requires High School diploma or GED; 1-3 years of experience in a high-volume, interactive customer service or call center environment, with working knowledge of medical terminology; or any combination of education and experience, which would provide an equivalent background.

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.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.comfor assistance.

Job Type: Full-time

Pay: From $20.04 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Application Question(s):

  • Are you currently unemployed or underemployed (working under 32 hours/week or outside your professional field)?
  • Do you currently live in the Chicagoland area in Illinois?

Education:

  • High school or equivalent (Required)

Experience:

  • Customer service: 2 years (Required)

Work Location: Remote

CMO MBM - Carelon
The Elevance Health Companies, Inc. -
CHICAGO, IL
Referral Specialist
LaSalle Network -
Arlington, IL
Referral specialist
Bright Start Solar -
Orland, IL

Salary.com Estimation for Referral Specialist - Carelon (Remote) in Chicago, IL

$40,243 - $51,583

For Employer

Looking to price a job for your company?

Price This Job
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

Sign up to receive alerts about other jobs with skills like those required for the Referral Specialist - Carelon (Remote).

Click the checkbox next to the jobs that you are interested in.

  • Customer Engagement Skill

    • Income Estimation: $21,820 - $27,407
    • Income Estimation: $21,099 - $29,528
    • Income Estimation: $21,099 - $29,528
  • Customer Service Skill

    • Income Estimation: $21,820 - $27,407
    • Income Estimation: $21,099 - $29,528
    • Income Estimation: $21,099 - $29,528
  • Customer Complaint Resolution Skill

    • Income Estimation: $47,042 - $62,809
    • Income Estimation: $46,263 - $64,990
This job has expired.
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Not the job you're looking for? Here are some other Referral Specialist - Carelon (Remote) jobs in the Chicago, IL area that may be a better fit.

Fitness Sales Specialist

D1 Training - 45 Sports, Bloomingdale, IL

Patient Registration Specialist I

45 LCPC Lurie Children's Primary Care, LLC, Chicago, IL