Anthem, Inc. Referral Services Assistant in Cerritos, California
SHIFT: Day Job
Referral Service Assistant
Location: Cerriots CA
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. 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.
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.