Job Description

Organization: SCAH-Sutter Care at Home - ValleyPosition 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.:Remote work in qualifying states only: Eligible applicants must reside in Arizona, Idaho or Utah.FULL-TIME DAY SHIFTS: Monday-Friday / Rotating WeekendsEDUCATION:

• HS Diploma or GED

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: Full TimeShift Hours: 8Days of the Week: Monday - FridayWeekend Requirements: Rotating WeekendsBenefits: YesUnions: NoThis position is work from home eligible.Position Status: Non-ExemptWeekly Hours: 40Employee Status: RegularNumber of Openings: 1Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.Pay Range is $22.07 to $28.69 / hourThe 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.

Sutter Health