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About the Role
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.
Responsibilities
- Obtain referral or prior authorizations for patients to see specialty providers.
- Complete referrals and/or authorizations accurately and consistently with minimal supervision.
- Process authorization and referral requests for members in coordination with health plans and contracted providers.
- Provide support to Case Management staff.
- Serve as a resource to providers regarding the authorization process.
Requirements
- HS Diploma or GED
- 2 years recent relevant experience.
Location
- California
Work Type
- Onsite (training)
- Hybrid (potential)
- Full Time
Experience Level
- 2 years of experience
Education Level
- HS Diploma or GED
Salary/Compensations
- $33.45 to $46.83 / hour
Benefits
- Comprehensive benefits package
About the Company
- Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Equal Opportunity
- EOE/M/F/Disability/Veterans