Referral Support Advocate

Overview

This role is offered through a partner organization seeking a Referral Support Advocate based in the United States. The position involves connecting members with quality healthcare providers and assisting them throughout their healthcare journeys by collaborating with various care teams to deliver personalized support.

Key Responsibilities

• Handle concierge referral requests by assessing members' healthcare needs, preferences, and requirements.
• Identify and select appropriate healthcare providers considering member insurance, services, and preferences.
• Coordinate scheduling of appointments with provider offices and provide continuous member support during the process.
• Gather and maintain accurate provider details such as availability, insurance participation, offered services, and treated conditions.
• Balance operational efficiency with quality of service to ensure high member satisfaction.
• Meet or exceed established service level agreements and quality standards related to referral management.
• Assist members with collecting and transferring medical records to ensure seamless continuity of care.
• Work collaboratively with internal teams including Member Care, Clinical, Quality, Training, and Records to resolve issues and enhance member experiences.
• Communicate effectively with healthcare providers, members, and internal stakeholders.
• Identify opportunities to improve processes and suggest solutions to increase efficiency and service quality.
• Support members by explaining benefits and linking them with appropriate resources.
• Continuously develop expertise and take on additional responsibilities to increase value within the role.

Essential Requirements

• Excellent verbal communication skills for explaining services and coordinating with providers.
• Strong written communication ability to produce clear and concise internal messaging.
• High attention to detail in data collection, verification, and entry.
• Strong organizational capacity to juggle multiple cases and priorities efficiently.
• Adaptability to evolving processes and workflows in a dynamic environment.
• Proactive problem-solving attitude and openness to seeking guidance when needed.
• Ability to conduct effective research and navigate online tools.
• Basic troubleshooting skills related to technology.
• Proficiency with office software such as Google Workspace and CRM systems.
• Team-oriented mindset and collaborative working style.
• Positive attitude, sense of humor, and contribution to a supportive team environment.
• Prior experience in healthcare navigation, customer support, or care coordination is advantageous.

Compensation and Benefits

• This is a full-time contract role with competitive pay.
• The hourly rate is $20.72 USD for candidates in the United States.
• Compensation varies based on location, skills, experience, and internal pay equity.
• Opportunity to impact healthcare outcomes positively and enhance member experiences.
• Collaborative team setting with growth and learning opportunities.
• Comprehensive onboarding and training support.
• Exposure to healthcare operations, care coordination, and patient advocacy.
• Chance to develop advanced expertise and accept added responsibilities over time.
• Flexible remote working arrangement.

Additional Information

The hiring process uses AI-driven candidate matching to ensure fair and objective evaluation based on core role requirements. Final decisions and subsequent steps such as interviews and assessments are conducted internally by the partner company managing this role.

By applying, candidates acknowledge that their personal data will be processed for recruitment purposes in line with applicable data protection laws. AI tools assist in reviewing applications but do not replace human decisions.