CVS Health
CVS Health
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.

Referral Coordinator – CVS Health

Coordinate Oak Street Health patient referrals, authorizations, and diagnostic orders while keeping medical records current. Help patients access specialists by managing documentation and referral information.

Description

  • Process referrals and diagnostic orders for Oak Street Health patients.
  • Update patient information in the electronic medical record.
  • Share referral and authorization details with patients.
  • Secure authorizations required for third-party requests.
  • Request medical records, submit clinical materials, and upload documents to the electronic medical record.
  • Compile information about patients’ clinical histories and referral needs.
  • Manage information across multiple payer portals.
  • Use electronic platforms to complete work and produce results.
  • Check non-preferred specialists and facilities for referral suitability.
  • Submit updates to maintain the OSH Specialty Finder.
  • Assist OSH field teams through the Alfred Line and CareReqs.
  • Work professionally with internal and external partners and customers.
  • Meet quality standards and performance targets.
  • Complete remote, classroom-style training.
  • Carry out other assigned duties.

Requirements

  • High school diploma or equivalent.
  • At least one year of general office administration experience.
  • Referral processing experience is preferred.
  • Flexible, positive approach to work.
  • Professional telephone manner.
  • Organized, with the ability to balance competing priorities.
  • Strong computer skills and familiarity with Microsoft Excel.
  • Strong communication and customer service skills.
  • Resourceful problem solver.
  • Able to follow through on delegated tasks.
  • Health plan experience or provider order entry experience is preferred.
  • Basic knowledge of medical terminology or medical coding is preferred.
  • Proficient personal computer skills.
  • Authorized to work in the United States.
  • Previous remote work experience.
  • Basic Google Workspace skills and ability to navigate systems.
  • Able to obtain high-speed internet and connect equipment directly to a router or modem.
  • A private, distraction-free remote workspace.
  • Reliable dependent care during working hours.
  • Able to provide personal transportation for required on-site support if located within 50 miles of an OSH location or center.
  • Able to attend remote classroom-style training sessions.

Benefits

  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Additional resources for physical, emotional, and financial well-being, subject to eligibility.

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