Transfer & Referral Specialist
: Job Details :

We are so glad you are interested in joining Sutter Health!Organization:SMCS-Valley AdministrationPosition Overview:Reviews confidential clinical information and facilitates transfers and transports to appropriate Sutter facility, program or affiliated and aligned specialists.* This position is hybrid (most days onsite and some days remote).Intake Sent - 9/20/24 SCJob Description:EDUCATIONEquivalent experience will be accepted in lieu of the required degree or diploma.* Bachelor's: Business and/or Healthcare Administration, or related field. or equivalent education/experiencePREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:* 2 years progressively responsible experience in healthcare/medical insurance, Emergency Room Tech, Admitting/Patient Access, and/or Case Management as typically acquired in three or more years.* 2 years' experience in an acute and/or non-acute healthcare setting.* 2 years' experience working with computerized systems and/or electronic medical record.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:NightsSchedule:Part TimeShift Hours:8Days of the Week:VariableWeekend Requirements:Every other WeekendBenefits:YesUnions:NoPosition Status:Non-ExemptWeekly Hours:24Employee 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 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.