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  • Westchester, IL

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Health Care Customer Service Specialist

AIM Specialty Health • Westchester, IL

Posted 14 days ago

Job Snapshot

Experience - At least 2 year(s)
Degree - High School
$15.00 /Hour
Healthcare - Health Services, Sales - Marketing, Insurance
Customer Service, Health Care, Entry Level
Relocation - No


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Job Description

AIM Specialty Health (AIM), a proud member of the WellPoint family of companies, is a national leader in specialty benefit management. Through an innovative technology platform and steadfast commitment to excellent customer service, AIM promotes the appropriate, safe and cost effective use of clinical services including: radiology, cardiology, oncology, specialty drugs, and sleep medicine.

This position is located in Westchester, IL

Pay:  $15 an hour 

Permanent full-time (40 hours) 
Bring your expertise to our forward-thinking and achievement-driven culture. At AIM, you will discover lasting rewards and an opportunity to take your career to new heights.
AIMs Operations Group is seeking client-focused individuals for to join our contact centers precertification team as a Health Care Customer Service Specialist (Referral Specialist).
Responsibilities include, but are not limited to:
  • 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

About AIM Specialty Health
AIM Specialty Health (AIM) is a leading specialty benefit management company with more than 20 years of experience and a growing presence in the management of radiology, cardiology, oncology, sleep medicine, and specialty pharmacy benefits. Our mission is to make healthcare services more clinically appropriate, safer and more affordable. As such, we promote the most appropriate use of specialty care services through the application of widely accepted clinical guidelines delivered via an innovative platform of technologies and services. With over 32 million members covered across 50 states, AIM ensures delivery of the right test at the right time in the right place.
We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL as well as Glendale, CA. This position will be located at our Westchester, IL contact center.
AIMs 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.
  • Oncology Management programs leveraging AIMs proven specialty benefit platform to drive consistent and effective cancer care through services review along with management of close to 70 oncologic drugs.
  • Specialty Drugs programs to provide review for over 142 specialty drugs offering providers an automated drug review process through our provider friendly web portal.
  • Sleep Management, designed to align the diagnosis and treatment of sleep apnea against clinical guidelines, enhance member access to high value providers and ensure treatment compliance for the dispensing of supplies.

Our programs combine clinical excellence, its 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.)
A Leading Employer of Choice
Along with a dynamic, entrepreneurial work environment, AIM offers competitive compensation, a generous benefits package and the opportunities for career progression youd 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
  • 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.

Job Requirements



We are a nonprofit agency working to bridge the skill gap for unemployed residents of Chicago and Cook County.  You must be an unemployed or underemployed resident of Cook County to take to advantage of our services.

Job Qualifications

The successful candidate will have:
  • H.S. diploma or GED;
  • 2 years of experience in a high-volume, fast-paced interactive customer service or call center environment;
  • or equivalent combination of education and experience.
  • Must demonstrate a working knowledge of medical terminology including spelling.
  • 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.

WellPoint is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine, one of the 100 Best Places to Work by Working Mother magazine, and is a 2012 DiversityInc magazine Top 50 Company for Diversity.

Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required).

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