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Title: Referral Coordinator I
Company: Oak Street Health
Location: Remote
Role Description:
The Referral Coordinator is a vital part of the Patient Experience & Service Operations (PXSO) and delivers an unmatched patient experience. This role is responsible for managing the day-to-day referrals and diagnostic orders for Oak Street Health patients to see specialist providers. This role interacts with center teams and payer partners to ensure patients are able to access needed care in a timely manner.
Core Responsibilities:
- Responsible for processing referrals and diagnostic orders
- Update patient information and make necessary updates/changes in electronic medical record
- Communicate referral and authorization information to patients
- Obtain required authorization for all third-party requests
- Request medical records, submit clinical documents, and upload documents into the electronic medical record platform
- Assemble information concerning the patient’s clinical background and referral needs
- Responsible for access to and information in multiple payer portals
- Navigate and produce results in multiple electronic platforms
- Verify non-preferred specialists and facilities for all referrals
- Contribute to the quality of the OSH Specialty Finder by appropriately submitting necessary changes
- Support collaboration with OSH field teams through the Alfred Line and CareReqs
- Interact professionally with internal and external partners and customers
- Meet standard performance metrics
- Meet quality standards
- Other duties as assigned
Remote Work Requirements:
- Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systems
- Prior remote work experience
- Ability to obtain high-speed internet and hardwire equipment to router/modem
- Distraction-free and private remote work environment required as well as reliable dependent care during working hours
- Ability to provide own transportation for instances where on-site support is required for employees located within 50 miles of a physical OSH location/center
- https://www.oakstreethealth.com/locations
- Call center/home office locations: Downers Grove, IL; Chicago, IL; Charlotte, NC
- Ability to participate in classroom-style remote training sessions
- An understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment
The career path from Referral Coordinator I to Referral Coordinator II includes:
- A minimum tenure of 6 months in the Referral Coordinator I role
- Consistently demonstrates strong problem-solving abilities, effective communication, and a thorough understanding of customer needs
- Demonstration of a strong desire to learn and grow in their role
- Meet “Exceptional” performance metrics for a minimum of 3 consecutive months (targets are subject to change with 30-day advance notice) for all job skills:
- Average Handle Time for responsibilities such as call management
- Unavailable time
- Quality Metrics
- Schedule Adherence (adhering to your assigned work schedule set by your supervisor based on business needs [shift arrival and departure times, and assigned lunch/break times])
- CareReq responsiveness
- Demonstrate proven reliability and satisfactory attendance
The progression path from Level I, Level II, and Level III positions within Service Delivery is a structured path that encourages coordinators to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Each role level builds upon the skills learned in the previous one, with the ultimate goal of enabling coordinators to provide superior support and contribute to the overall success of the team.
Remote Work Requirements:
- Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systems
- Prior remote work experience
- Ability to obtain high-speed internet and hardwire equipment to router/modem
- Distraction-free and private remote work environment required as well as reliable dependent care during working hours
- Ability to provide own transportation for instances where on-site support is required for employees located within 50 miles of a physical OSH location/center
- Ability to participate in classroom-style remote training sessions
- An understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment
What are we looking for?
- High School diploma or equivalent required
- 1 year of general office administrative experience
- Experience with processing referrals is preferred
- Flexible and positive attitude
- Professional phone etiquette
- Organized and able to manage competing priorities
- Strong computer skills and knowledge/familiarity with Microsoft Excel
- Strong communication and customer service skills
- Resourcefulness in problem-solving
- Able to follow through on delegated tasks
- Health plan or provider order entry experience preferred
- Basic knowledge of medical terminology and/or medical coding preferred
- Proficient PC skills
- US work authorization
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$17.00 - $31.30This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- High school diploma or equivalent
- One year of general office administrative experience
- US work authorization
- Proficient PC skills and computer literacy
- Basic Google Suite skills and ability to navigate computer systems
- Prior remote work experience
- High-speed internet and ability to hardwire equipment to a router or modem
- Private, distraction-free remote work environment and reliable dependent care during working hours
- Ability to provide transportation for occasional on-site support when applicable
- Professional phone etiquette
- Organization and ability to manage competing priorities
- Strong computer skills and familiarity with Microsoft Excel
- Strong communication and customer service skills
- Resourcefulness in problem-solving
- Ability to follow through on delegated tasks
- Flexible and positive attitude
- Experience processing referrals
- Health plan or provider order entry experience
- Basic knowledge of medical terminology and/or medical coding
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
