Referral Specialist I

Job ID: JP00045572

Anticipated Start Date: 05/27/2025

Please note this is the target date and is subject to change. Mindlance will send official notice ahead of a confirmed start date.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals

Primary duties may include, but are not limited to:

• Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
• Reviews referrals for completeness and follows up for additional information if necessary.
• Assigns escalated referrals to staff as appropriate.
• Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams (CT, MRI, MRA, PET, et.) following established process and procedures.
• Responds to inbound calls initiating exam requests following established processes, meets quality and production standards.
• Contacts physician offices as needed to obtain demographic information or related data.
• Enters referrals, documents communications and actions in system.

Requirements:

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

Job Type: Contract Opportunity

Additional Details:

• Work Schedule: Monday-Friday 8:00am-5:00pm (PST)
• The candidate must commute to one of the following Tucson sites: (4705 S LANDING WAY AR USA, 85714)4821 N STONE AVE, Tucson, AZ 85704. 7091 E SPEEDWAY Blvd, Tucson AZ 85710.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

About Mindlance:

Founded in 1999, Mindlance is a certified diversity business and has been on the Staffing Industry Analysts list of Fastest-Growing US Staffing Firms twelve times. As a top-performing partner to leading workforce programs, Mindlance is known for delivering consistently high-quality tech first talent solutions. Our strong processes help clients build agile and diverse workforces, while creating an ease of onboarding and service to our consultants.

Mindlance provides specialized staffing solutions across the Healthcare industry and associated skill domains. Headquartered in Union, NJ with presence in over 40 key locations across US, Canada and India, servicing 200 global clients and 5000 consultants. Our services include Direct Sourcing, Global EoR & AoR, Payroll, Returnship, and Recruit-Train-Deploy solutions. With over $400 million in annual revenue, our success is rooted in a mindful commitment to balance in work, from which our name is derived.

Mindlance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how Mindlance collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. Mindlance will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Salary : $400