Referral Coordinator III, SF Spine
Sutter Health•San Francisco, CA
About The Position
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.
Requirements
- HS Diploma or GED
- AUTO-Automobile Insurance (remote employees excluded)
- DL-Valid Drivers License (remote employees excluded)
- 2 years recent relevant experience.
Responsibilities
- Obtaining referral or prior authorizations for patients to see specialty providers.
- Completing referrals and/or authorizations accurately and consistently with minimal supervision.
- Processing authorization and referral requests for members in coordination with health plans and contracted providers.
- Providing support to the Case Management staff.
- Serving as a resource to providers regarding the authorization process.
Benefits
- Comprehensive benefits package
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
