Platform Summits: Referrals Jam
CoinbaseSalary not specified
Full Time
Junior (1 to 2 years)
Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- HS diploma or GED
- Minimum of 1 year of experience in a high-volume, interactive customer service or call center environment (or equivalent combination of education and experience)
- Ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while taking notes and speaking to customers
- Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment
- Strong verbal and written communication skills for virtual and in-person interactions
- Attentive to details, critical thinker, and problem-solver
- Demonstrates empathy and persistence to resolve caller issues completely
- Comfort and proficiency with digital tools and platforms
- Ability to work a structured schedule (Monday - Friday, 8:30 am - 5:00 pm CST) with occasional overtime or flexibility, including office work as necessary
- Within reasonable commuting distance from posting location(s) unless accommodation granted
Responsibilities
- 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, etc.) following established processes and procedures
- Responds to inbound calls initiating exam requests following established processes, meeting quality and production standards
- Contacts physician offices as needed to obtain demographic information or related data
- Enters referrals, documents communications and actions in system
- Performs other duties as assigned
Skills
clinical referrals
pre-authorization
insurance verification
patient liaison
data entry
multitasking
inbound calls
physician coordination
demographic data
imaging exams
CT
MRI
quality standards
Elevance Health
Integrated health services and digital platform
About Elevance Health
Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.
Indianapolis, IndianaHeadquarters
1944Year Founded
$309.4MTotal Funding
IPOCompany Stage
Enterprise Software, Social Impact, HealthcareIndustries
10,001+Employees