Junior Referral Specialist II – Paragon Home Infusion

Elevance Health

. Provide support to a clinical team to facilitate the administrative components of clinical referrals .

Posted 10/14/2026full-timeUnited StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing clinical referrals, verifying insurance coverage, and obtaining authorizations while effectively communicating with various stakeholders. Proficient in handling high-volume customer interactions in a fast-paced healthcare environment.

Highest-signal resume keywords

Healthcare Benefit ReferralsICD and CPT Coding KnowledgeNextGen ExperienceCustomer Service in HealthcareMulti-tasking in High-pressure Environments

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical TerminologyReferral ManagementInsurance VerificationAuthorization ProcessesData EntryCall HandlingFacsimile CommunicationElectronic Queue ManagementComplex Referral ReviewDemographic Data Collection

Soft Skills

Communication SkillsOrganizational SkillsAttention to DetailAbility to Multi-taskFocus Under Pressure

Tools & Technologies

NextGen

Certifications & Qualifications

HS Diploma or GED

Industry Keywords

Specialty Pharmacy ExperienceHealthcare Commercial ExperienceHealthcare Government ExperiencePatient-facing RolesCOVID-19 Vaccination Requirement

About the role

Key responsibilities & impact

Provide support to a clinical team to facilitate the administrative components of clinical referrals
Act as liaison between hospitals, health plans, physicians, patients, vendors, and other referral sources
Review complex referrals for completeness and follow up for additional information when necessary
Assign referrals to staff as appropriate
Verify insurance coverage and obtain authorizations from insurance plans when needed
Contact physician offices to obtain demographic information or related data
Enter referrals and document communications, actions, and other data in the system
Handle calls, texts, facsimiles, and electronic queues while simultaneously taking notes and speaking to customers
Perform other duties as assigned

Requirements

What you’ll need

HS diploma or GED
Minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment
Ability to multi-task while handling calls, texts, facsimiles, and electronic queues, taking notes, and speaking to customers simultaneously
Ability to maintain focus during extended periods of sitting
Ability to handle multiple tasks in a fast-paced, high-pressure environment
Ability to work a structured schedule with occasional overtime or flexibility based on business needs
Ability to work from the office as necessary
Specialty Pharmacy experience is preferred
Knowledge of medical terminology and plan-specific guidelines is preferred
ICD and CPT coding knowledge is strongly preferred
Experience with healthcare benefit referrals, authorizations, appeals, and cost estimates is preferred
Healthcare Commercial and Government experience is preferred
NextGen experience is preferred
Candidates must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
Certain patient/member-facing roles require vaccination against COVID-19 and Influenza, subject to acceptable explanation and applicable law

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) with company match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Virtual full-time work, except for required in-person training sessions
Potential flexibility and occasional overtime based on business needs