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This range is provided by CareBridge. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$19.00/hr - $31.09/hr
Location & Hours
Virtual: This role enables associates to work virtually full-time in California, with the exception of required in-person training sessions. Hours: Monday - Friday, an 8‑hour shift between 8 am - 5 pm PST.
Responsibilities
Managing incoming calls
Determine contract and benefit eligibility; creates authorizations for LTSS members.
Obtains intake (demographic) information from LTSS providers.
Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care.
Processes incoming requests, collection of information needed for review from providers.
Verifies benefits and/or eligibility information.
May act as a liaison between LTSS and internal departments.
Responds to telephone and written inquiries from providers and in-house departments.
Manages non‑clinical needs of members with chronic illnesses, co‑morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long‑term services and supports.
May also serve as mentor, subject matter expert or preceptor for new staff, assisting the formal training of associates, and may be involved in process improvement initiatives.
Minimum Requirements
Requires HS diploma or equivalent and a minimum of 2 years customer service experience in a healthcare‑related setting and medical terminology training; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Qualifications
For URAC accredited areas, the following professional competencies apply: strong oral, written and interpersonal communication skills, problem‑solving skills, facilitation skills, and analytical skills.
Previous experience working in a social work setting preferred.
BA/BS degree is preferred in the field of health care.
Specific education, years and type of experience may be required based upon state law and contract requirements.
Travel to worksite and other locations when necessary.
For candidates working in person or virtually in the below location(s), the salary range for this specific position is $19.00 to $31.09.
Benefits and Compensation
In addition to your salary, CareBridge offers a comprehensive benefits package, including health, dental, vision, 401(k) with match, stock purchase plan, equity stock purchase, incentive and recognition programs, and other benefits subject to eligibility requirements. The salary is based on a number of legitimate, non‑discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
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. Any qualified applicants, including those with arrest or conviction records, will be considered in accordance with all federal, state, and local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Equal Employment Opportunity Statement
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.