drjobs Transfer Referral Specialist

Transfer Referral Specialist

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1 Vacancy
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Job Location drjobs

Sacramento, CA - USA

Hourly Salary drjobs

$ 33 - 49

Vacancy

1 Vacancy

Job Description

We are so glad you are interested in joining Sutter Health!

Organization:

SMCSValley Administration

Position Overview:

Reviews confidential clinical information and provides personalized referrals to individuals or physicians/clinics requiring specialty services from a contracted medical group hospital or thirdparty payor. Facilitates referrals to appropriate Sutter facility program or affiliated and aligned specialists.

*This position is hybrid (most days onsite and some days remote).

Job Description:

EDUCATION

Equivalent experience will be accepted in lieu of the required degree or diploma.

  • Bachelors: Business and/or Healthcare Administration or related field. or equivalent education/experience


PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:

  • 5 years progressively responsible experience in healthcare/medical insurance Health Information Management Admitting/Patient Access Patient Financial Services and/or Case Management as typically acquired in three or more years.
  • 5 years experience in an acute and/or nonacute healthcare setting.
  • 5 years experience working with computerized systems and/or electronic medical record.


SKILLS AND KNOWLEDGE

  • Working knowledge of managed care requirements and processes.
  • Knowledge of system affiliate and community resources and thirdparty payers (e.g. PPO HMO Medicare insurance plans).
  • knowledge of insurance authorization process and HIPPA requirements.
  • Familiar with medical and managed care terminologies.
  • Understanding of disease process to assess referral requests and appropriate level/provider of care required.
  • Ability to define issues collect data establish facts and draw valid conclusions.
  • Displays a customer service focus in all decisions and actions.
  • Ability to communicate through verbal and written means and to present information to a variety of audiences.
  • Organization skills to effectively manage and/or reprioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness.
  • Ability to interact and maintain effective working relationships with those contacted in the performance of required duties.
  • Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment.
  • Demonstrates initiative in providing feedback/input to improve workflow/processes.
  • Ability to work effectively in a dynamic and fastpaced environment with changing business priorities.
  • Ability to maintain and work discreetly with confidential and sensitive information.
  • Ability to use essential applications and/or databases associated with the roles duties and responsibilities.

Job Shift:

Nights

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Variable

Weekend Requirements:

Every other Weekend

Benefits:

Yes

Unions:

No

Position Status:

NonExempt

Weekly Hours:

32

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $33.26 to $49.89 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications department equity training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.


Required Experience:

Unclear Seniority

Employment Type

Full-Time

Company Industry

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