Referral Support Advocate

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Referral Support Advocate based in the United States.

This role offers the opportunity to make a meaningful impact by helping members access high-quality healthcare providers and navigate their care journeys.
You will work as part of a collaborative care team focused on delivering personalized support and improving healthcare experiences.
As a Referral Support Advocate, you will combine organization, communication, and problem-solving skills to connect individuals with the right resources.
The position requires attention to detail, empathy, and the ability to manage multiple priorities in a fast-paced healthcare environment.
You will collaborate with clinical, scheduling, and support teams to ensure members receive timely and effective assistance.
This is an opportunity to contribute to a mission-driven organization focused on making quality care more accessible for everyone.

As a Referral Support Advocate, you will support members throughout their healthcare journey by coordinating referrals, identifying appropriate providers, and ensuring a seamless experience. You will work closely with internal teams and external healthcare partners to deliver accurate, timely, and compassionate support.

• Manage concierge referral requests by understanding member needs, preferences, and healthcare requirements.
• Research and identify high-quality providers that align with member needs, insurance coverage, and care preferences.
• Coordinate appointment scheduling with provider offices and ensure members receive ongoing support throughout the process.
• Collect accurate provider information, including availability, insurance participation, services offered, and conditions treated.
• Balance efficiency, service quality, and performance goals while maintaining a high level of member satisfaction.
• Meet or exceed service level agreements and quality standards for referral management.
• Assist members with collecting and transferring medical records to support continuity of care.
• Collaborate with Member Care, Clinical, Quality, Training, and Records teams to resolve issues and improve member experiences.
• Communicate clearly and effectively with healthcare providers, members, and internal stakeholders.
• Identify opportunities for process improvements and recommend solutions that enhance efficiency and service quality.
• Support members by explaining available benefits and connecting them with appropriate resources.
• Continue developing expertise and taking on additional responsibilities to create greater value within the role.

Requirements:

The ideal candidate is a detail-oriented and compassionate professional who enjoys helping others and thrives in a fast-paced, evolving environment. You should have strong communication skills, excellent organization, and the ability to manage sensitive information while delivering exceptional service.

• Strong verbal communication skills with the ability to explain services, coordinate with provider offices, and gather scheduling information.
• Strong written communication skills with the ability to create clear and concise messages for internal teams.
• Excellent attention to detail and ability to collect, verify, and accurately enter data.
• Strong organizational skills with the ability to manage multiple active cases and priorities.
• Ability to adapt to changing processes and workflows in a fast-paced environment.
• Comfortable asking questions, seeking support, and proactively solving problems.
• Ability to perform internet research and navigate online resources effectively.
• Basic technical troubleshooting skills.
• Proficiency with common office tools, including Google Workspace, CRM systems, and related software.
• Ability to work collaboratively with cross-functional teams.
• A positive attitude, sense of humor, and willingness to contribute to a supportive team environment.
• Previous experience in healthcare navigation, customer support, care coordination, or a related field is a plus.

Benefits:

This full-time contract position offers competitive compensation and the opportunity to contribute to a mission-driven healthcare organization.

• Hourly pay of $20.72 USD in the United States.
• Compensation determined based on location, skills, experience, and internal pay equity.
• Opportunity to support meaningful healthcare outcomes and improve member experiences.
• Collaborative team environment with opportunities to learn and grow.
• Training and onboarding support to help you succeed in the role.
• Exposure to healthcare operations, care coordination, and patient advocacy.
• Opportunities to develop expertise and take on additional responsibilities over time.
• Flexible remote work environment.