We are so glad you are interested in joining Sutter Health!

**Organization:**

PAMF-Palo Alto Medical Foundation CAD

**Position Overview:**

Accountable for ensuring accurate and timely completion of all referrals and authorizations and acts as a resource to providers, clinical operations, and staff. Maintains department metrics and ensures that established turnaround times are adhered to. Works daily to evaluate referral volume, patient call volumes and distributes workload accordingly. Responsible for creating and maintaining workflows and documentation for the following: verifying patient eligibility, coordination of benefits, ensuring accurate insurance coverage, and determining if prior authorization is needed for physician orders. Investigates and responds to patient and provider escalations regarding inquiries and referrals not meeting turnaround standards.

**Job Description** :

**EDUCATION:**
_Equivalent experience will be ...