Transfer & Referral Specialist

Sutter Health; Novato (CA); On-site; USD 28,000 - 41,000; Part time

Job summary

Sutter Health is seeking a part-time, on-site Referral Coordinator to review confidential clinical information and provide personalized referrals to contracted providers. The role requires coordinating with physicians, clinics, and payors to streamline patient access and ensure appropriate levels of care.

Ideal candidates will have a bachelor’s degree in business or healthcare administration and experience in healthcare administration, patient access, or health information management.

Qualifications

• Bachelor’s degree or equivalent experience in business/healthcare administration.
• Experience with health information management, case management, or patient access preferred.
• Knowledge of managed care processes and insurance authorization.

Responsibilities

• Review confidential clinical information and provide referrals to appropriate providers.
• Facilitate referrals to Sutter facilities, programs, or affiliated specialists.

Skills

Referral coordination

HIPAA compliance

Customer service

Verbal communication

Written communication

Organizational skills

Attention to detail

Confidential information handling

Education

Bachelor’s degree in Business or Healthcare Administration

Tools

EMR systems

Job description

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

Organization:

SMCS-Valley Administration

Position Overview:

Reviews confidential clinical information and provides personalized referrals to individuals or physicians/clinics requiring specialty services from a contracted medical group, hospital, or third-party payor. Facilitates referrals to appropriate Sutter facility, program or affiliated and aligned specialists.

This position is on fully on site.

Job Description

EDUCATION

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

• Bachelor’s: Business and/or Healthcare Administration, or related field. or equivalent education/experience

PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:

• 2 years progressively responsible experience in healthcare/medical insurance, Health Information Management, Admitting/Patient Access, Patient Financial Services, 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:

Days

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:

Regular

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

Pay Range is $0.00 to $0.00 / 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.