Job Details
Organization:SCAH-Sutter Care at Home - South ValleyPosition 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:EDUCATION:HS Diploma or GEDTYPICAL 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:DaysSchedule:Full TimeShift Hours:8Days of the Week:Monday - FridayWeekend Requirements:Rotating WeekendsBenefits:YesUnions:NoThis position is work from home eligible.Position Status:Non-ExemptWeekly Hours:40Employee Status:RegularNumber of Openings:1This position may regularly work, store, prepare, receive, unpack, transport, dispose of, or administer drug(s) identified as hazardous, or potentially hazardous, by the National Institute for Occupational Safety and Health (NIOSH) for purposes of USP 800.Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.Pay Range is $22.07 to $28.69 / hourThe 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.All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.