Anthem In. Case Management Jobs

Job Information

Anthem, Inc. Referral Services Assistant- Remote in Anaheim, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

Referral Services Assistant

Locations: Tennessee, Arizona, Nevada, California

Hours: 8am-5pm- PST (Pacific Standard)

Some schedules will require working Sat/Sun with Wed/Thurs off

The Referral Service Assistant is 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.

Primary duties may include, but are not limited to: • 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 high school diploma; 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.

For patient/member-facing roles with direct patient/member clinical setting interaction (clinic, member home, care facility) and PulsePoint essentials (roles that cannot be performed virtually), recruiters should ensure the job posting includes the statement:

The health and safety of our associates, members and communities is a top priority for Anthem. This priority has become increasingly important as we continue to face the challenges of the COVID-19 pandemic. Anthem believes vaccination is the best way to reduce the spread of COVID-19 and protect our members, our communities, our families and ourselves. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this role. (At Anthem, fully vaccinated means it has been at least two weeks since you have received the second dose of a two-dose vaccine such as Moderna or Pfizer, or the single dose of a single dose vaccine, such as Johnson & Johnson).

If you do not meet the requirements for this position, we encourage you to review other positions that currently allow virtual work. If you have a medical or sincerely held religious reason for not being vaccinated, consistent with applicable law, Anthem will consider requests for reasonable accommodation on this basis. Should you have any questions regarding the requirement after applying, email TalentAquisition_VaccinationSupport@anthem.com.

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. 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. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS57090-California

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