Transfer and Referral Specialist
Transfer and Referral Specialist
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Job Description
We are so glad you are interested in joining Sutter Health!
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.Full Time & Part Time Roles Are Available variable shifts and 8 or 12 hour shifts** locations Sacramento Novato
Additional Requirements:
Full Time & Part Time Roles Are Available variable shifts and 8 or 12 hour shifts** locations Sacramento Novato
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
Bachelors: Business and/or Healthcare Administration or related field.
TYPICAL EXPERIENCE:
2 years of recent relevant experience.
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:
VariedSchedule:
Full TimeShift Hours:
8Days of the Week:
VariableWeekend Requirements:
As NeededBenefits:
YesUnions:
NoPosition Status:
NonExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $33.26 to $49.89 / hourThe 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
