Referral Intake Specialist Jobs (NOW HIRING)

Shift: Monday - Friday 9:00 am to 5:00 pm ET

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Referral Intake Specialist II - BioPlus Specialty Infusion is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals.

How you will make an impact:

• Acts as a first level SME, ability beyond intake calls that include working on production oriented work, may include physician assisting and/or special projects.
• Processes fax requests.
• Respond to high volume email inquiries.
• Provider credential verifications.
• Acts as liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
• Reviews complex referrals for completeness and follows up for additional information if necessary.
• Assigns referrals to staff as appropriate.
• Contacts physician offices as needed to obtain demographic information or related data.
• Enters referrals, documents communications and actions in system. Enters referrals, documents communications, actions and other data in system.
• Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously 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, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver.
• Demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
• Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
• Performs other duties as assigned.

Minimum Qualifications:

• Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Knowledge of medical terminology, plan specific guidelines; ICD and CPT coding.
• Intermediate experience with excel.
• Experience with IVIG, Hemophilia, and/or TNF Therapy.
• Experience working in a high-volume assignment role.
• Experience working in health insurance or with a managed care organization.
• Prior knowledge in infusion pharmacy or benefit investigation.
• Ability to self-start, be coachable and flexible.
• Prior experience with navigating multiple systems, partners, and internal & external customers.
• Experience working with the CPR+ platform or CareTend platform.

Locations: Richmond, VA

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Job Level: Non-Management Non-Exempt

Workshift: 1st Shift (United States of America)

Job Family: CUS > Care Support