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AIM Specialty Health Referral Specialist - Deerfield, IL - PS17793

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Customer Service
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PS17793 Requisition #
Your 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 will be responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various AIM services. 

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.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 Diversity Inc. magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

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Frequently Asked Questions

We accept online applications via our "Apply" link at the bottom of specific position. Our online application may vary in type of questions depending on the role. Once this is completed, you will receive an email confirmation regarding your application.

After you apply online, you will receive an email confirmation regarding your application. Our recruiters update the status of your application as soon as information is available. You can check the status of your application by logging back into the system.

We have multiple opportunities that can be work-at-home; to find these positions search "remote" on the main page.

If you have any questions regarding your application status, you can always check the status of your application by logging into the system. Feel free to follow us on our social media channels, as well.

For more information regarding our temporary or contract opportunities at Anthem visit here.

Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance.