About the role
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-ValleyPosition Overview:
Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.Job Description:
EDUCATION:
- HS Diploma or GED
PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:
- 1 year 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 judgments, 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:
Full TimeShift Hours:
8Days of the Week:
Monday - FridayWeekend Requirements:
As NeededBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $27.50 to $34.37 / 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.
Aplyr's read
Sutter Health is a leading not-for-profit healthcare system in Northern California, known for its comprehensive services and commitment to community health.
What's promising
- •Sutter Health offers a wide range of specialized healthcare services across Northern California.
- •The organization is not-for-profit, reinvesting in community health and patient care.
- •Sutter Health provides opportunities in diverse roles, from clinical to administrative positions.
What to watch
- •Sutter Health has faced criticism for high healthcare costs in some regions.
- •The organization has been involved in legal disputes regarding pricing practices.
- •Limited public information about employee satisfaction and internal culture.
Why Sutter Health
- •Sutter Health integrates a comprehensive network of hospitals and outpatient services.
- •The organization emphasizes innovation in healthcare delivery and patient care.
- •Sutter Health's not-for-profit status focuses on community health improvement.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Sutter Health
Sutter Health is a not-for-profit health care system in Northern California, providing a range of health services including hospitals, outpatient care, and home health services.