Transfer & Referral Specialist

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

Organization:

SMCS-Valley 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 third-party payor. Facilitates referrals to appropriate Sutter facility, program or affiliated and aligned specialists. 5 years of recent relevant experience preferred.

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:

Nights

Schedule:

Full Time

Shift

Hours:

8

Days of the Week:

Variable

Weekend Requirements:

Every other Weekend

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly

Hours:

32

Employee Status:

Regular

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

Pay Range is $34.25 to $51.38 / 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.