Job Details

ID #3436446
Estado California
Ciudad Glendale
Full-time
Salario USD TBD TBD
Fuente Anthem, Inc.
Showed 2020-02-21
Fecha 2020-02-21
Fecha tope 2020-04-21
Categoría Etcétera
Crear un currículum vítae

AIM Specialty Health Referral Specialist I-Glendale, CA

California, Glendale 00000 Glendale USA

Vacancy caducado!

AIM Specialty Health Referral Specialist I-Glendale, CALocation: Glendale, California, United StatesNewRequisition #: PS33690Your Talent. Our Vision. At AIM Specialty Health (AIM) , a proud member of the Anthem, Inc. family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care . This is an exceptional opportunity to do innovative work that means more to you and those we serve.The Referral Specialist I will be responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various AIM services.MUST BE ABLE TO WORK A SCHEDULE M-F 9:30 AM-6:00 PM (Pacific Time)Compensation: $18.41/HR with a Quarterly Incentive Plan (bonus)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.

High School diploma or GED; 1-3 years of experience in a high-volume, interactive customer service or call center environment; working knowledge of medical terminology; or any combination of education and experience which would provide an equivalent background.

Experience with Microsoft Office Suite including Outlook, Word and Excel strongly preferred

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Vacancy caducado!

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