Referral Coordinator I

CVS Health•Work At Home-Illinois, IL

7d•$17 - $31•Remote

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Role Description: The Referral Coordinator is a vital part of the Patient Experience & Service Operations (PXSO) and delivers an unmatched patient experience. This role is responsible for managing the day-to-day referrals and diagnostic orders for Oak Street Health patients to see specialist providers. This role interacts with center teams and payer partners to ensure patients are able to access needed care in a timely manner.

Requirements

Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systems
Prior remote work experience
Ability to obtain high-speed internet and hardwire equipment to router/modem
Distraction-free and private remote work environment required as well as reliable dependent care during working hours
Ability to provide own transportation for instances where on-site support is required for employees located within 50 miles of a physical OSH location/center
Ability to participate in classroom-style remote training sessions
An understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment
High School diploma or equivalent required
1 year of general office administrative experience
Flexible and positive attitude
Professional phone etiquette
Organized and able to manage competing priorities
Strong computer skills and knowledge/familiarity with Microsoft Excel
Strong communication and customer service skills
Resourcefulness in problem-solving
Able to follow through on delegated tasks
Proficient PC skills
US work authorization

Nice To Haves

Experience with processing referrals is preferred
Health plan or provider order entry experience preferred
Basic knowledge of medical terminology and/or medical coding preferred

Responsibilities

Responsible for processing referrals and diagnostic orders
Update patient information and make necessary updates/changes in electronic medical record
Communicate referral and authorization information to patients
Obtain required authorization for all third-party requests
Request medical records, submit clinical documents, and upload documents into the electronic medical record platform
Assemble information concerning the patient’s clinical background and referral needs
Responsible for access to and information in multiple payer portals
Navigate and produce results in multiple electronic platforms
Verify non-preferred specialists and facilities for all referrals
Contribute to the quality of the OSH Specialty Finder by appropriately submitting necessary changes
Support collaboration with OSH field teams through the Alfred Line and CareReqs
Interact professionally with internal and external partners and customers
Meet standard performance metrics
Meet quality standards
Other duties as assigned