Referral Specialist II – Part-Time

Elevance Health

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

Posted 9/18/2026part-timeConnecticut • United StatesJunior💰 $21 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong communication skills and attention to detail while managing clinical referrals and administrative tasks in a fast-paced healthcare environment. Proficient in utilizing digital tools and platforms to support patient and physician interactions effectively.

Highest-signal resume keywords

Customer Service ExperienceMedical Terminology KnowledgeICD-9 And CPT CodingMultitasking AbilityStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Referral ManagementInsurance VerificationData EntryCritical ThinkingProblem-SolvingCall HandlingDocumentationDigital Tools ProficiencyMedical CodingHealthcare Administration

Soft Skills

EmpathyPersistenceAttention To Detail

Certifications & Qualifications

HS DiplomaGED

Industry Keywords

HealthcareCall CenterClinical ReferralsPatient InteractionPhysician Liaison

About the role

Key responsibilities & impact

Provide support to a clinical team to facilitate administrative components of clinical referrals
Act as a first-level subject matter expert on intake calls, production-oriented work, physician assisting, and special projects
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
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 with 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, or equivalent combination of education and experience
Ability to work 24 hours per week in two 12-hour shifts from 6:00 AM to 6:00 PM Eastern on Friday and Saturday
Ability to work from the office as necessary
Ability to multitask while handling calls, texts, facsimiles, and electronic queues
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
Attention to detail, critical thinking, and problem-solving ability
Empathy and persistence to resolve caller issues completely
Comfort and proficiency with digital tools and platforms
Knowledge of medical terminology and plan-specific guidelines preferred
ICD-9 and CPT coding preferred
Ability to quickly learn and navigate new systems and technology strongly preferred
Candidates must reside within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401(k) contribution and match
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical, dental, and vision benefits
Short- and long-term disability benefits
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
COVID-19 and Influenza vaccination requirement for certain patient/member-facing roles
Virtual work flexibility except for required in-person training sessions
Occasional overtime or schedule flexibility based on business needs