Referral Coordinator I

CVS Health•Work At Home-Illinois, IL

4d•$17 - $31•Remote

About The Position

The Referral Coordinator I is part of Oak Street Health’s Patient Experience & Service Operations team and is responsible for managing day-to-day referrals and diagnostic orders so patients can access specialist care in a timely manner. The role works with center teams, payer partners, patients, and other internal and external partners to support a high-quality patient experience. This is a remote position. The employee must have proficient computer skills, reliable high-speed internet and hardwired equipment, a private and distraction-free work environment, and reliable dependent care during working hours. Employees located within 50 miles of an Oak Street Health location may need to provide their own transportation for on-site support. The role also requires participation in classroom-style remote training and the professionalism and reliability expected in a remote work environment. The progression from Referral Coordinator I to Referral Coordinator II requires at least six months in the role, strong problem-solving and communication, a thorough understanding of customer needs, a desire to learn, exceptional performance metrics for at least three consecutive months, and proven reliability and satisfactory attendance. Performance measures include call handling, unavailable time, quality, schedule adherence, and CareReq responsiveness. Service Delivery levels I through III form a structured progression toward broader knowledge, responsibility, and expertise. This is a full-time role with 40 anticipated weekly hours. The typical pay range is $17.00–$31.30 per hour; the actual offer depends on factors including experience, education, geography, and other relevant considerations. The role is eligible for a benefits package, subject to eligibility.

Requirements

High school diploma or equivalent.
One 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 of or familiarity with Microsoft Excel.
Strong communication and customer service skills.
Resourcefulness in problem-solving.
Ability to follow through on delegated tasks.
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 a router or modem.
Ability to maintain a distraction-free, private remote work environment and reliable dependent care during working hours.
Ability to provide own transportation for on-site support when required for employees located within 50 miles of a physical OSH location or center.
Ability to participate in classroom-style remote training sessions.
Understanding of the conscientiousness, professionalism, and reliability required in a remote work environment.
US work authorization.

Nice To Haves

Experience processing referrals.
Health plan or provider order-entry experience.
Basic knowledge of medical terminology and/or medical coding.

Responsibilities

Process referrals and diagnostic orders.
Update patient information and make necessary changes in the electronic medical record.
Communicate referral and authorization information to patients.
Obtain required authorization for third-party requests.
Request medical records, submit clinical documents, and upload documents into the electronic medical record platform.
Assemble information about patients’ clinical backgrounds and referral needs.
Access and manage information in multiple payer portals.
Navigate and produce results in multiple electronic platforms.
Verify non-preferred specialists and facilities for referrals.
Submit necessary changes to support the quality of the OSH Specialty Finder.
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 and quality standards.
Perform other duties as assigned.