Referral Specialist

Location and Work Schedule

Role enables associates to work virtually‑time, with required in‑person training sessions. This full‑remote model provides maximum flexibility and autonomy while ensuring essential face‑to‑face onboarding and skill development. Candidates must be within a reasonable commuting distance of the posted location(s) unless an accommodation is granted as required by law. Hours are Monday through Friday, with shifts between 7 AM and 8 PM Central time.

The Referral Specialist I supports a clinical team by managing the administrative components of clinical referrals.

• Initiate and manage clinical referrals for pre‑authorization.
• Act as liaison between hospital, health plans, physicians, patients, vendors, and other referral sources.
• Review referrals for completeness and follow up for additional information if necessary.
• Assign escalated referrals to staff as appropriate.
• Verify insurance coverage and complete pre‑authorization for radiology and other imaging exams (CT, MRI, MRA, PET, etc.) following established processes.
• Respond to inbound calls initiating exam requests, meeting quality and production standards.
• Contact physician offices as needed to obtain demographic information or related data.
• Enter referrals, document communications and actions in the system.
• Multitask efficiently, handling calls, texts, facsimiles, and electronic queues while taking notes and speaking to customers.
• Maintain focus during extended periods of sitting and handle multiple tasks in a fast‑paced, high‑pressure environment. Demonstrate strong verbal and written communication, empathy, persistence, and problem‑solving. Proficiency with digital tools and platforms enhances productivity and reduces manual effort.
• Structured work schedule with occasional overtime or flexibility based on business needs, including ability to work from the office as necessary.
• Perform other duties as assigned.

• HS diploma or GED and a minimum of 1 year of experience in a high‑volume, interactive customer service or call center environment; or any combination of education and experience that provides an equivalent background.

• Knowledge of medical terminology strongly preferred.
• Experience in healthcare industry preferred.
• Inbound call center experience preferred.

Salary range $18.54/hr to $27.81/hr for Illinois.

Elevance Health offers a comprehensive package including 401(k) match, equity, and paid time off. For details see company website.

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 elevancehealthj for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.