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Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent.
Our Vision. At Anthem, Inc., 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.Clinical
Referral CoordinatorMiami Area, FLResponsible 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.
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 2018 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.REQNUMBER: PS36582
