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Transfer & Referral Specialist II - SH2002455

Sutter Health

  • Sacramento, California
  • 5 days ago

    Highlights

    Reviews confidential clinical information and provides personalized referrals to individuals or physicians/clinics requiring specialty services from a contracted medical group, hospital, or third-party payor. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs.

    Numbers & Facts

    LocationSacramento, California
    IndustryHealthcare Services
    Company Size10,000 employees or more
    Year Founded1921
    Websitehttps://jobs.sutterhealth.org/

    Description

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

    Organization:

    SHSO-Sutter Health System Office-Valley

    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 third-party payor. Facilitates referrals to appropriate Sutter facility, program or affiliated and aligned specialists.

    Job Description:


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

    Bachelor's in 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 third-party 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 re-prioritize 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 fast-paced 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 role’s duties and responsibilities.

     

    Job Shift:

    Days

    Schedule:

    Full Time

    Shift Hours:

    8

    Days of the Week:

    Monday - Friday

    Weekend Requirements:

    Occasionally

    Benefits:

    Yes

    Unions:

    No

    Position Status:

    Non-Exempt

    Weekly Hours:

    40

    Employee Status:

    Regular

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

    Pay Range is $28.00 to $52.56 / hour

    The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

    Benefits

    Professional Development, 401K, Flexible Spending Accounts, Retirement / Pension Plans, Tuition Reimbursement, Life Insurance

    About Company

    Sutter Health has a long history in California. Some of our facilities have been providing care in the communities we serve for more than 100 years. Today, we’re proud to partner with more than 12,000 doctors to care for more than 3 million people.

    We’re inspired by our Northern California community and work tirelessly to deliver top-rated, affordable healthcare. Doctors, hospitals, care teams and employees in the Sutter Health network are always looking for new, meaningful ways to care for you and your loved ones. We believe that every moment matters when it comes to helping you live a longer, healthier and happier life.

    Our not-for-profit network delivers top-rated, personalized care in more than 100 Northern California communities. Recently ranked among the Top 15 Health Systems in the nation by Truven Health Analytics™, our team of more than 50,000 doctors, employees and volunteers partner to spread innovation, improve access to healthcare services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

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