About this role
We are so glad you are interested in joining Sutter Health!
Organization
SHSO-Sutter Health System Office-Bay
Position Overview
Processes referral requests for patients to achieve timely and accurate determinations. Works within scope of practice to complete or forward requests as appropriate to Managed Care physicians and/or nurses as per the Utilization Management (UM) protocols. Maintains required turnaround times for referral completion. Assists providers and patients with referral status questions. Participates in development and implementation of improvements to the referral process and workflows.
Job Description
EDUCATION
HS Diploma or GED
SKILLS AND KNOWLEDGE
Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
Competency in using MS Office Excel and Word, other Managed Care programs.
Ability to identify, understand and solve problems related to claims and referrals.
Communication skills, including understanding of medical concepts, ability to organize thoughts, and communicate issues concisely and effectively.
Proven ability to quickly adjust to changing projects and priorities and to multi-task.
Organizational skills.
Job Shift
Days
Schedule
Full Time
Shift Hours
8
Days of the Week
Monday - Friday
Weekend Requirements
None
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 $31.48 to $44.07 / hour. San Francisco Bay Area Pay Range is $31.48 to $44.07 / hour. Sacramento Valley Area Pay Range is $27.38 to $38.32 / hour.
The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider 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.