Referral Specialist II - Paragon Infusion Centers
Elevance HealthAbout the role
Anticipated End Date:
2026-09-04Position Title:
Referral Specialist II - Paragon Infusion CentersJob Description:
Referral Specialist II - Paragon Infusion Centers
Location: 3033 W President George Bush Hwy, STE 100, Plano, TX 75075
Schedule: Monday-Friday, 7am-7pm; will work an 8 hour shift within this timeframe.
Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
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.
A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.
The Referral Specialist II - Paragon Infusion Centers 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.
- 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.
- Verifies insurance coverage and obtains authorizations if needed from insurance plans.
- 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.
- Additional expectations to include but not limited to: 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 Requirements:
- 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:
- Experience working in a medical office setting highly preferred.
- Experience working with payor portals.
- NextGen experience.
- Knowledge of medical terminology, plan specific guidelines; ICD-9 and CPT coding preferred.
Job Level:
Non-Management Non-ExemptWorkshift:
Job Family:
CUS > Care SupportPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
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.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and be
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