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Provides medical administration support by obtaining referral and prior authorizations for patients to see specialty providers. Processes authorization requests in coordination with health plans and serves as a resource for providers regarding the authorization process.
We are so glad you are interested in joining Sutter Health!
Organization:
SCAH-Sutter Care at Home - UTPosition 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:
FULL-TIME DAY SHIFT: Weekends
EDUCATION:
HS Diploma or GED
DEPARTMENT REQUIRED CERTIFICATIONS & LICENSURES
Department, Home Health: AUTO-Automobile Insurance
Department, Home Health: DL-Valid Drivers License Class C or B - State Department of Motor Vehicles
TYPICAL 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:
Part TimeShift Hours:
8Days of the Week:
VariableWeekend Requirements:
Every WeekendBenefits:
NoUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
16Employee Status:
Short HourSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $22.28 to $31.20 / hour. Applicants in the following states: Nevada & Texas Pay Range is $24.31 to $34.04 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $22.30 to $28.98 / 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.
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