Full employer posting
We are so glad you are interested in joining Sutter Health! Organization: SPMF-Sutter Pacific Medical Foundation - South 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.
HS Diploma or GED TYPICAL
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
Days
Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend
None
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.
is $33.45 to $46.83 / 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
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.
About the role
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.