Authorization Coordinator, Home Health

Sutter Health Referral Specialist

Position reports in frequently to San Francisco with some potential for hybrid remote work. This position serves as the clerical support to the regional home health referral management team. This position assists the Clinical Referral Specialist and Home Health Administrator in ensuring the effective communication between referral management staff, referring physicians, facilities, skilled nursing facilities, patients, families, home health, AIM and hospice staff across SCAH offices, patient care liaisons, and other referral sources. The Referral Specialist assists in managing the inbound and outbound phone calls and documenting and processing home care referrals in the EMR system. The Referral Specialist assists with scheduling start of care visits with patients and families, per business needs. Maintains regular communication with home care teams regarding new referrals, and supports statistics and reporting functions. Consistently utilizes and promotes use of excellent customer service skills. The Referral Specialist reports directly to the Home Health Administrator.

Job Description:

Education

Equivalent experience will be accepted in lieu of the required degree or diploma. HS Diploma: Or equivalent with successful completed course work or equivalent experience in medical terminology &/or working in healthcare environments. Or equivalent education/experience.

Certification & Licensure

Current PPD

Preferred Experience as Typically Acquired In:

• 2 years experience working in a health care environment.
• Customer service background via telephonic communications.
• Proven customer relations and phone etiquette abilities.
• Clerical and computer skills required including experience with office machines and a working knowledge of phone and filing systems.

Department Specific Skills and Knowledge

Knowledge of basic Medical Terminology preferred. Familiarity with ICD-10 coding preferred but not essential. Able to operate copy machines, fax machines, basic computer programs, word processing and e-mail. Familiarity with Excel preferred. Excellent communication skills, written and verbal English skills required. Ability to professionally handle confidential information, comply with HIPAA regulations and maintain workflow systems required. Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems. Strong data entry and general computer skills required. This position maintains a 5% or less data entry error. Must be able to flex with the increased workflow when census is higher and recognize urgency of each task. Must be able to communicate effectively, to perform multiple tasks effectively and efficiently, to work with minimal supervision, to react to change productively and to handle other essential tasks as assigned. Must be able to hear, read, write and speak clearly to effectively communicate with department staff, other employees and community, and carry out essential functions. Must be able to handle sensitive issues, conflict with or among others, respectively direct and reinforce staff efforts; effectively plan and organize and prioritize work, and to effectively solve unique problems as they arise or identify when to consult supervisor. Must be able to deal with a challenging work environment from time demands and conflicting priorities. Maintain a positive and professional image and demonstrate self-directed learning to meet professional development and/or license requirements. At orientation and annually thereafter, must be able to meet core competencies for position and area of specialty, as appropriate. Must be able to work weekends and holidays per the business needs.

Job Shift: Days

Schedule: Full Time

Shift Hours: 8

Days of the Week: Monday - Friday

Weekend Requirements: As Needed

Benefits: Yes

Unions: Yes

Position Status: Non-Exempt

Weekly Hours: 40

Employee Status: Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $27.63 to $34.45 / hour 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.