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Referral Services Assistant - AIM Specialty Health

Employer Name: AIM Specialty Health
Location: Westchester, IL
Job Code: 1102

Description

                                                                                                                       

Referral Services Assistants process call outs for approved cases and verbal notification of a denial, contact physicians offices, as needed, to obtain demographic information or related information, and more.


Give yourself a competitive advantage by applying to this role through Skills for Chicagoland’s Future (Skills). Skills is a nonprofit organization that partners with organizations across the Chicagoland area to place unemployed and underemployed job seekers into companies. These employers are committed to hiring talent through Skills.

Why utilize Skills for Chicagoland’s Future as one of your job search sources?

Skills is free for job seekers. Any job seeker who Skills determines is a match for the role is interviewed by a member of Skills’ Talent Acquisition Team and provided with additional insights into the role. As you move through the hiring process, Skills is your advocate with the hiring company.
 

Hiring Company: AIM Specialty Health

AIM provides clinical solutions that drive appropriate, safe and affordable care. Serving more than 50 million members across 50 states, D.C., and US territories, AIM promotes optimal care through use of evidence-based clinical guidelines and real-time decision support for both providers and their patients. Our platform, featuring a sophisticated clinical rules engine from Applied Pathways (a wholly owned subsidiary of AIM), delivers significant cost of care savings across an expanding set of clinical domains, including radiology, cardiology, oncology, specialty drugs, sleep medicine, musculoskeletal care, and genetic testing.

Job Description: Referral Services Assistant

Referral Services Assistants process call outs for approved cases and verbal notification of a denial, contact physicians offices, as needed, to obtain demographic information or related information, and more.

Responsibilities:

  • Processes call outs for approved cases and verbal notification of a denial.
  • Contacts physician office, as needed, to obtain demographic information or related information.
  • Processes case closure and letter generation (when applicable).
  • Enters information and documents communications in system.
  • Works closely with the Nursing team to rectify administrative issues for cases based on business rules.
  • Reviews case for completeness and follows up for additional information as final quality check to make sure cases are closed within respected timeframes
  • Other duties, as assigned.

Qualifications

The qualified candidate will have:

  • High school diploma or GED
  • Minimum of one year experience in a health care environment; or graduate/recent graduate of a health care curriculum education.
  • Or any combination of education and experience, which would provide an equivalent background.
  • Solid typing skills and familiarity with Microsoft Office
  • 1 year AIM Referral Specialist II experience, or 18 months of Referral Specialist I experience is a plus
  • Thorough understanding of AIM contact center operations, policies, practices and procedures will be a major plus
  • Demonstrated ability to operate independently, as well as part of a team, and to follow directives.
  • Flexibility and be adaptive to change
  • Able to work an 8 hour shift between the hours of 10:00am and 8:30pm, local time.

Compensation & Benefits

  • $16.46/hour plus full benefits
  • Benefits include:
    • An array of Health, Dental and Vision Care Insurance plans
    • Term Life Insurance
    • Short- and Long-term Disability Insurance
    • 401(k) Employee Savings Plan with company match
    • Paid Time Off
    • Tuition Reimbursement
    • Tax-advantaged health care and dependent flexible spending plans
    • Health club reimbursement allowance
    • Licensure reimbursement for medical professionals

Location

2 Westbrook Corporate Center
Suite 800
Westchester, IL 60154

 

For more information about Skills for Chicagoland’s Future, and to view additional roles Skills is currently placing unemployed/underemployed job seekers into visit www.scfjobs.com.





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