Referral Specialist I
Company: Anthem, Inc.
Posted on: January 15, 2022
SHIFT: Day Job
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
The Referral Specialist I is responsible for providing support to a
clinical team in order to facilitate the administrative components
of clinical referrals for various AIM services.
Sign-On Bonus: $1,000.00 (Eligible until 2/1/22)
Primary duties may include, but are not limited to:
* Initiates and manages clinical referrals for
* 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
* Requires High School diploma or GED; 1-3 years of experience in a
high-volume, interactive customer service or call center
environment, with working knowledge of medical terminology; or any
combination of education and experience, which would provide an
We offer a range of market-competitive total rewards that include
merit increases, paid holidays, Paid Time Off, and incentive bonus
programs (unless covered by a collective bargaining agreement),
medical, dental, vision, short and long term disability benefits,
401(k) +match, stock purchase plan, life insurance, wellness
programs and financial education resources, to name a few.
The health of our associates and communities is a top priority for
Anthem. We require all new candidates to become vaccinated against
COVID-19. If you are not vaccinated, your offer will be rescinded
unless you provide - and Anthem approves - a valid religious or
medical explanation as to why you are not able to get vaccinated
that Anthem is able to reasonably accommodate. Anthem will also
follow all relevant federal, state and local laws.
Anthem, Inc. has been named as a Fortune 100 Best Companies to Work
For -, is ranked as one of the 2020 World's Most Admired Companies
among health insurers by Fortune magazine, and a 2020 America's
Best Employers for Diversity by Forbes. To learn more about our
company and apply, please visit us at careers.antheminc.com. Anthem
is an Equal Employment Opportunity employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected by law. Applicants who require
accommodation to participate in the job application process may
contact [email protected] for assistance.
Keywords: Anthem, Inc., Glendale , Referral Specialist I, Other , Glendale, Arizona
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