Elevance Health Jobs

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.

Title: Referral Specialist Lead

Location: Onsite at IN-INDIANAPOLIS, 220 VIRGINIA AVE

Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

Shift: 10:00am-7:00pm

Build the Possibilities. Make an extraordinary impact.

The Referral Specialist Lead is responsible for providing technical guidance to Referral Specialist Reps who handle correspondence and assist callers with issues concerning contract and benefit eligibility for precertification and prior authorization of inpatient and outpatient services.

How you will make an impact:

• Motivates and encourages Referral Specialist Reps while providing technical guidance. Suggests methods to improve productivity.

• Understands specific workflow, processes, departmental priorities and guidelines.

• Monitors daily phone activities to exceed NMIS standards and improve customer service levels. Provides direction and guidance to less experienced team members.

• May assists manager with PTO scheduling and monitoring attendance.

• Handles escalated and unresolved calls from less experienced team members.

• Handles complex situations and ensures Referral Specialists Reps are directed to the appropriate resources to resolve issues.

• Keeps team members informed of any changes.

• Assists management by identifying areas of improvement and recommends solutions.

• Keeps manager informed of changes or problems.

• Keeps departmental manuals up-to-date.

Minimum Requirements:

• Requires a minimum of 3+ years of experience in complex customer service or call center environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Lead role experience preferred.

• Data entry experience preferred.

• Intake experience preferred.

• Pharm Tech experience preferred.

• Specialty Pharmacy experience preferred.

• Knowledge of medical terminology and plan specific guidelines preferred.