Referral Specialist I, Indianapolis, IN - BioPlus Specialty Pharmacy

Be Part of an Extraordinary Team

BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.

Build the Possibilities. Make an Extraordinary Impact.

Referral Specialist

Location: This is a non-hybrid position, 100% in the office. This position is for Indianapolis, IN. The selected candidate must reside within 50 miles or one hour commute from our Indianapolis, Indiana Pulse Point location.

HOURS : Monday through Friday with the following shift available:

• 10 AM-7 PM

The Referral specialist 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

Primary duties may include, but are not limited to:

• Initiates and manages clinical referrals for pre-authorization.

• 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.

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 environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experience:

• Knowledge of medical terminology preferred.

• 35 WPM, Data Entry, knowledge of computer skills preferred.

• Pharmacy experience preferred.