We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-ValleyPosition 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.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.
TYPICAL EXPERIENCE:
2 years of recent relevant experience.
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.
PHYSICAL ACTIVITIES AND REQUIREMENTS:
See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday - FridayWeekend Requirements:
OccasionallyBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $28.00 to $52.56 / 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
- Bachelor's in Business, Healthcare Administration, or related field (or equivalent experience)
- 2 years of recent relevant experience
- Working knowledge of managed care requirements and processes
- Knowledge of system, affiliate and community resources, and third-party payors (PPO, HMO, Medicare, insurance plans)
- Knowledge of insurance authorization process and HIPAA requirements
- Familiarity with medical and managed care terminologies
- Understanding of disease processes to assess referral requests and appropriate level/provider of care
- Ability to define issues, collect data, establish facts and draw valid conclusions
- Customer service focus in decisions and actions
- Strong verbal and written communication skills; ability to present information to varied audiences
- Organizational skills to manage and reprioritize activities to meet deadlines
- Ability to interact and maintain effective working relationships
- Demonstrated respect for cultural and linguistic differences and promote inclusivity
- Initiative to provide feedback/input to improve workflows and processes
- Ability to work effectively in a dynamic, fast-paced environment with changing priorities
- Ability to maintain confidentiality and handle sensitive information discreetly
- Ability to use essential applications and/or databases associated with the role
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.
