Job description
Organization:
PAMF-Palo Alto Medical Foundation CADPosition Overview:
Processes referral requests for patients to achieve timely and accurate determinations. Works within scope of practice to complete or forward requests as appropriate to Managed Care physicians and/or nurses as per the Utilization Management (UM) protocols. Maintains required turnaround times for referral completion. Assists providers and patients with referral status questions. Participates in development and implementation of improvements to the referral process and workflows.*This is a hybrid remote/on-site position*
Job Description:
EDUCATION
Equivalent experience will be accepted in lieu of the required degree or diploma.
HS Diploma or equivalent education/experience.
SKILLS AND KNOWLEDGE
Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
Competency in using MS Office Excel and Word, other Managed Care programs.
Ability to identify, understand and solve problems related to claims and referrals.
Communication skills, including understanding of medical concepts, ability to organize thoughts, and communicate issues concisely and effectively.
Proven ability to quickly adjust to changing projects and priorities and to multi-task.
Organizational skills.
Pay Range: 25.09 - 31.36
The 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.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
9Days of the Week:
Friday, Monday, Thursday, Tuesday, WednesdayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularNumber of Openings:
1Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
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