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Referral Specialist (Deerfield) - AIM Specialty Health

Employer Name: AIM Specialty Health
Location: Deerfield, IL
Job Code: 766

Description

                                                                                                                   

AIM's Operations Group is seeking client-focused individuals to join the contact centers precertification team as a Health Care Customer Service Specialists (Referral Specialists).

 

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 Specialist

AIM's Operations Group is seeking client-focused individuals to join the contact centers pre-certification team as a Health Care Customer Service Specialists (Referral Specialists).

Responsibilities:

  • Enter demographic and screening information from a requesting physician office or provider via telephone or web-based input into the preauthorization computer system
  • Screen preauthorization requests using approved criteria and guidelines
  • Identify and appropriately refer cases to preauthorization nurses for clinical review
  • Provide information to referring/rendering physician offices and network service providers regarding program requirements
  • Maintain personal client files updated with the most current client fact sheets provided
  • Monitor department voice mail and process preauthorization requests in accordance with departmental guidelines
  • Maintain telephone service standards in accordance with departmental goals

Qualifications

The qualified candidate will have:

  • H.S. diploma or GED
  • 2 years in a high-volume, fast-paced interactive customer service or call center environment; or equivalent combination of education and experience
  • Working knowledge of medical terminology preferred
  • Detailed oral and written communications skills required
  • Candidates should have solid typing speed and accuracy, and good computer skills, with the ability to utilize multiple computer systems in desktop environment to accomplish results

Compensation & Benefits

  • $17 per hour
  • 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

540 Lake Cook Road 
Suite 300 
Deerfield, IL 60015

 

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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