California Transfer Referral Specialist

Reviewing confidential clinical information, the full-time California Transfer Referral Specialist will provide personalized referrals to individuals or physicians requiring specialty services, facilitating connections to appropriate Sutter facilities and specialists in a remote environment. Key responsibilities Facilitate referrals to appropriate Sutter facilities and specialists based on clinical information Maintain knowledge of managed care requirements and third-party payer processes Assess referral requests and determine the appropriate level of care needed Required qualifications Bachelor's degree in Business, Healthcare Administration, or related field, or equivalent experience At least 2 years of recent relevant experience in a healthcare setting Working knowledge of insurance authorization processes and HIPAA requirements Familiarity with medical terminology and managed care systems Ability to maintain confidentiality and manage sensitive information