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Referral Specialist
Elevance HealthReferral Specialist I facilitating clinical referrals and managing communication between healthcare providers for Elevance Health. Ensuring proper processing and documentation of insurance authorizations in a remote and hybrid work environment.
Posted 7/29/2026full-timeLas Vegas • California, Colorado, Nevada • 🇺🇸 United StatesJunior💰 $18 - $31 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing clinical referrals and pre-authorization processes while effectively liaising between various stakeholders in the healthcare system. Proficient in handling high-volume customer interactions and maintaining accurate documentation.
Highest-signal resume keywords
Clinical Referral ManagementPre-Authorization ProcessCustomer Service ExperienceMedical Terminology KnowledgeHealthcare Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Referral ManagementPre-AuthorizationInsurance VerificationData EntryDocumentation
Soft Skills
CommunicationInterpersonal SkillsProblem-Solving
Certifications & Qualifications
HS DiplomaGED
Industry Keywords
HealthcareCall CenterPatient LiaisonHigh-Volume Environment
About the role
Key responsibilities & impact- 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 imaging exams
- Responds to inbound calls initiating exam requests
- Contacts physician offices as needed to obtain demographic information or related data
- Enters referrals, documents communications and actions in system
Requirements
What you’ll need- Requires HS diploma or GED
- Minimum of 1 year of experience in a high-volume, interactive customer service or call center environment
- Knowledge of medical terminology preferred
- Prior healthcare experience strongly preferred
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Paid Time Off
- Medical, dental, vision benefits
- Wellness programs
- Financial education resources