Health Care Customer Service Specialist - AIM Westchester, IL. 2/20 - 53846
WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide.
American Imaging Management (AIM) is the nation's leading provider of diagnostic imaging management services. Our Westchester, IL Operations Group is seeking client-focused individuals for future opportunities to join our contact center's precertification team.
The successful candidates will:
* Enter demographic and screening information from a requesting physician office or provider via telephone or facsimile 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 imaging centers regarding program requirements
* Maintain current 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
Founded in 1989, AIM is one of the oldest and largest companies in the radiology benefit management industry. A proud member of the WellPoint family of companies, AIM partners with leading health plans and health care providers to promote the most appropriate use of outpatient diagnostic imaging through the application of widely accepted clinical guidelines delivered through responsive, customized solutions, a commitment to clinical excellence, and industry leading, innovative technologies.
We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL as well as Glendale, CA. This position will be located at our Westchester, IL offices, convenient to the TriState, Eisenhower and Reagan Expressways.
Along with a dynamic, entrepreneurial work environment, AIM offers competitive compensation, a generous benefits package and the opportunities for career progression you'd expect from an industry leader.
These 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
* Stock purchase plan
* Paid Time Off
* Tuition Reimbursement
* Tax-advantaged health care and dependent flexible spending plans
* Health club reimbursement allowance
* Licensure reimbursement for medical professionals
Our total rewards package is designed to attract, motivate and retain qualified individuals. Whether you are interested in medical utilization management, nursing, information technology, accounting and finance, marketing or human resources, there may be an opportunity for you at AIM. As an Equal Opportunity/Affirmative Action employer, we are committed to promoting diversity in the workplace.
AIM 's services include:
* Prospective clinical review of outpatient advanced imaging procedures such as CT, MRI, Nuclear Cardiology and PET Scans
* Clinical review for cardiology and specialty pharmacology products and services.
* Outpatient diagnostic imaging provider network analysis and transparency
* Claim adjudication and provider payment services
Our programs combine clinical excellence, innovative technology and a commitment to customer service, ensuring the company's on-going leadership in the rapidly evolving healthcare environment.
AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)
American Imaging Management, Inc. is an equal opportunity employer.
Requirements:
* H.S. diploma including 2 years of experience in a high-volume, fast-paced interactive customer service or call center environment or equivalent combination of education and experience required.
* Must demonstrate a working knowledge of medical terminology including spelling.
* Detailed oral and written communications skills required.
* Candidates should have good computer skills, solid typing speed and accuracy and ability to navigate through systems
