Clinic Referral Coordinator

Anthem, Inc. Hialeah , FL 33002

Posted 4 weeks ago

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Pasteur, 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.

The Clinical Referral Coordinator is responsible for the completion and submission of appropriate forms for patients whose health plan requires authorizations and referrals for services and/or treatment at a facility other than that of the referring physician.

Primary duties may include, but are not limited to:

  • Educates and assists patients with the authorization and referral process, referrals for specialty care or treatment, and additional clinical testing.

  • Enters authorization into the portal scans and ensures accurate completion of authorization and referral forms.

  • Submits completed prior authorization forms to the appropriate Utilization Management department.

  • Maintains logbook of all authorizations and referrals submitted.

  • Assists patients in the scheduling of appointments with the specialist or facility to which the patient has been referred and scheduling transportation, if necessary.

Qualifications

Location: Pasteur - Hialeah, Florida

  • Requires a high school diploma; 6 months of experience processing referrals/authorizations and/or working knowledge of the referral/authorization process; or any combination of education and experience, which would provide an equivalent background.

  • Bi-lingual (English/Spanish) required in most offices.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2019 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.

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Clinic Referral Coordinator

Anthem, Inc.