Description
SHIFT: Day Job
SCHEDULE: Full-time
Referral Services Assistant United States Be part of an extraordinary team We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Build the Possibilities. Make an extraordinary impact. Aspire Health is the nation's largest provider of home-based palliative care. We partner with health plans and physicians who share our vision of providing comprehensive, collaborative medical care to offer relief from the symptoms, pain, and stress of serious illness in the comfort of a patient's home. As a Referral Services Assistant, you 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.
How you will make an impact:
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
Minimum Requirements:
Requires a HS diploma or GED
Minimum of 1 year of experience in a healthcare environment;
Or any combination of education and experience which would provide an equivalent background.
Ability to travel may be required.
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 Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. 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 age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
REQNUMBER: PS68604
