Transfer and Referral Specialist - Sutter Health
Sacramento, CA
About the Job
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 third-party 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._
Bachelor's: 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:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Variable
Weekend Requirements:
As Needed
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 $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 candidate’s 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._
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.
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.
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._
Bachelor's: 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:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Variable
Weekend Requirements:
As Needed
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 $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 candidate’s 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._
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.
Source : Sutter Health
