Transfer & Referral Specialist

February 25, 2026

We are so glad you are interested in joining Sutter Health!Organization:SMCS-Valley AdministrationPosition Overview:Reviews confidential clinical information and provides personalized referrals to individuals or physicians/clinics requiring specialty services from a contracted medical group, hospital, or third-party payor. Facilitates referrals to appropriate Sutter facility, program or affiliated and aligned specialists. 5 years of recent relevant experience preferred.Job Description:EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma.<ul><li>Bachelor's in Business and/or Healthcare Administration, or related field.</li></ul> TYPICAL EXPERIENCE:<ul><li>2 years of recent relevant experience.</li></ul> SKILLS AND KNOWLEDGE:<ul><li>Working knowledge of managed care requirements and processes.</li><li>Knowledge of system, affiliate and community resources, and third-party payers (e.g., PPO, HMO, Medicare, insurance plans).</li><li>Knowledge of insurance authorization process and HIPPA requirements.</li><li>Familiar with medical and managed care terminologies.</li><li>Understanding of disease process to assess referral requests and appropriate level/provider of care required.</li><li>Ability to define issues, collect data, establish facts and draw valid conclusions.</li><li>Displays a customer service focus in all decisions and actions.</li><li>Ability to communicate through verbal and written means, and to present information to a variety of audiences..</li><li>Organization skills to effectively manage and/or re-prioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness.</li><li>Ability to interact and maintain effective working relationships with those contacted in the performance of required duties.</li><li>Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment.</li><li>Demonstrates initiative in providing feedback/input to improve workflow/processes.</li><li>Ability to work effectively in a dynamic and fast-paced environment with changing business priorities.</li><li>Ability to maintain and work discreetly with confidential and sensitive information.</li><li>Ability to use essential applications and/or databases associated with the role’s duties and responsibilities.</li></ul>Job Shift:DaysSchedule:Part TimeShift Hours:8Days of the Week:VariableWeekend Requirements:Every other WeekendBenefits:YesUnions:NoPosition Status:Non-ExemptWeekly Hours:24Employee Status:RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.Pay Range is $34.25 to $51.38 / 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.

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