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Transfer & Referral Specialist
Job Description
We are so glad you are interested in joining Sutter Health!
- Organization:
- SMCS-Valley Administration
- Position Overview:
- Reviews confidential clinical information and facilitates transfers and transports 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.
- PREFERRED 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:
- Nights
- Schedule:
- Part Time
- Shift Hours:
- 8 •Days of the
Week:
- Variable
- Weekend Requirements:
- Every other Weekend
- Benefits:
- Yes
- Unions:
- No •
Position Status:
- Non-Exempt
- Weekly Hours:
- 24 •
Employee Status:
- Limited Term (Fixed Term) 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
- Dental Insurance