Transfer & Referral Specialist

About the job

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.

​ 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.