Vacancy expired!
Description SHIFT: Day JobSCHEDULE: Full-timeYour 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. Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the flexibility to return to a regular, in-office work environment. As we continue to monitor guidance from CDC and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activities.The Referral Service Assistant will be responsible for providing support to clinical team to facilitate the administrative components of clinical referrals for case management or disease management services to include home health, nutritional counseling, etc.Primary duties may include, but are not limited to:Initiates and manages clinical referrals for participants registered in a disease management or health program.
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.
Assigns referrals to staff.
Verifies insurance coverage and obtains authorizations from insurance plans.
Maintains database of insurance companies for verification of coverage, accepted plans, and requirements for patient eligibility.
Contacts physician offices to obtain demographic information or related data.
Enters referrals and documents communications in system.
Qualifications Qualifications:Requires a high school diploma; 1 year of experience in a healthcare environment; or any combination of education and experience, which would provide an equivalent background.Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc 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.REQNUMBER: PS40335
Vacancy expired!