Anthem, Inc. Clinic Referral Coordinator in Miami Gardens, Florida
SHIFT: Day Job
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 Clinic 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.
Requires a high school diploma or GED equivalent from an accredited institution; 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.
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.