• Transfer and Referral Specialist

    Sutter Health (Sacramento, CA)


    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._