• Job Description

  Req#: R-75702

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

  Organization:

  SHSO-Sutter Health System Office-Valley

  Position Overview:

  Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, referral navigation, scheduling, and determine if prior authorization is needed for referral order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding referral processing & navigation to specialists, scheduling, authorizations within turnaround standards. Ability to meet productivity quota and work in a fast-paced team environment.

  Job Description:

  The person selected for this role must live in the Northern California Sutter Health footprint and come on site as needed. This is not a 100% remote role.

  EDUCATION

  Equivalent experience will be accepted in lieu of the required degree or diploma.

  • HS Diploma or equivalent education/experience

  
  PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:

  • 1 year within a health care setting.

  
  SKILLS AND KNOWLEDGE

  • Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
  • Knowledge of medical terminology/anatomy.
  • Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines.
  • Knowledge of Microsoft Office programs including Excel, Word or similar programs.
  • Ability to maintain composure during challenging interpersonal interactions.
  • Active listening skills; including interpersonal skills and telephone communication.
  • Organizational skills with attention to detail and follow-up.

  Job Shift:

  Days

  Schedule:

  Full Time

  Shift Hours:

  8

  Days of the Week:

  Monday - Friday

  Weekend Requirements:

  None

  Benefits:

  Yes

  Unions:

  No

  This position is work from home eligible.

  Position Status:

  Non-Exempt

  Weekly Hours:

  40

  Employee Status:

  Regular

  Number of Openings:

  4

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

  Pay Range is $26.88 to $33.60 / 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.

• About the company

  Sutter Health is a not-for-profit integrated health delivery system headquartered in Sacramento, California.

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