Position Overview :
Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers.
Completes referrals and / or authorizations accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans and contracted providers.
Provides support to the Case Management staff. Serves as a resource to providers regarding the authorization process.
Job Description :
FULL-TIME DAY SHIFTS : Monday-Friday / Rotating Weekends
EDUCATION :
HS Diploma or GED
TYPICAL EXPERIENCE :
2 years recent relevant experience.
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 judgements, 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
Days
Schedule : Full Time
Full Time
Shift Hours : Days of the Week :
Days of the Week : Monday - Friday
Monday - Friday
Weekend Requirements :
Rotating Weekends
Benefits : Unions :
Unions :
This position is work from home eligible.
Position Status : Non-Exempt
Non-Exempt
Weekly Hours : Employee Status :
Employee Status : Regular
Regular
Number of Openings :
Sutter Health is an equal opportunity employer EOE / M / F / Disability / Veterans.
Pay Range is $22.07 to $28.69 / 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.
Qualified applicants with arrest and conviction records will be considered for employment. Applicants for specific positions are still required to disclose certain convictions during the application process, and those convictions may also be considered in determining eligibility for employment in accordance with applicable law.
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