We are so glad you are interested in joining Sutter Health!
Organization:
SPMF-Sutter Pacific Medical Foundation - SouthPosition Overview:
Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.Job Description:
EDUCATION:
- HS Diploma or GED
TYPICAL EXPERIENCE:
- 1 year 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 judgments, 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:
NoneBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $31.87 to $39.83 / hourThe 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.
Skills Required
- High school diploma or GED
- 1 year recent relevant experience
- Knowledge of medical terminology and anatomy
- Knowledge of CPT, HCPCS, and ICD-9 coding
- Experience with Electronic Medical Record documentation
- Proficiency with Microsoft Office (Excel, Word)
- Active listening and telephone communication skills
- Ability to exercise discretion and independent judgment
- Organizational skills with attention to detail and follow-up
Sutter Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Sutter Health and has not been reviewed or approved by Sutter Health.
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Healthcare Strength — Healthcare coverage is described as comprehensive, with broad networks and strong wellness support. Family coverage is characterized as low-cost or nearly free in some plan options, reinforcing perceived value.
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Retirement Support — Retirement offerings include employer matching and, in some cases, a pension after a tenure threshold. Supplemental protections like life and disability insurance add to the overall financial security package.
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Leave & Time Off Breadth — Paid time off is framed as generous, with examples of sizable PTO allotments early in tenure. Additional supports such as flexible scheduling and leave programs contribute to a sense of time-off breadth.
Sutter Health Insights
What We Do
Sutter Health is one of the nation's leading not-for-profit healthcare networks, which includes award-winning physician organizations, acute care hospitals, surgery centers, medical research facilities and specialty services. Our team of 68,000 doctors, employees and volunteers proudly cares for Northern California. Our facilities and care centers are located in large, urban cities and small, rural communities, from the Pacific Coast to the San Joaquin Valley. You’ll find us in San Francisco, Oakland, Sacramento, the snowy mountains of the Sierra Nevada and Lake Tahoe, Napa Valley, Yosemite and the coastal redwoods. We even have an affiliate in Hawaii. Join us and be part of a dedicated group of professionals committed to putting patients’ needs first and achieving the highest levels of quality, access and affordability.
