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 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.

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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.