Location
Roseville
Job Type
Full-time
Posted
July 04, 2026
Job Description
We are so glad you are interested in joining Sutter Health!
**Organization:**
SRMC-Sutter Roseville Med Center
**Position Overview:**
Handles the day-to-day review, coordination and management of referral/authorization requests for services requiring clinical background and understanding from a provider operational and payer requirement perspective. Serves as a functional liaison to Financial Clearance Representatives (pre-service), Patient Access Representatives (point of service), insurance companies, physicians and hospital Administration. Enhances the patient experience throughout all interactions demonstrating knowledge of Sutter's Health system and service offerings. Facilitates Medicare National Coverage Determination (NCD) and Local Coverage Determination (LCD) process on behalf of Sutter Health hospitals to ensure physician and hospital compliance with conditions of coverage prescribed within Medicare National Coverage Determination.
**Organization:**
SRMC-Sutter Roseville Med Center
**Position Overview:**
Handles the day-to-day review, coordination and management of referral/authorization requests for services requiring clinical background and understanding from a provider operational and payer requirement perspective. Serves as a functional liaison to Financial Clearance Representatives (pre-service), Patient Access Representatives (point of service), insurance companies, physicians and hospital Administration. Enhances the patient experience throughout all interactions demonstrating knowledge of Sutter's Health system and service offerings. Facilitates Medicare National Coverage Determination (NCD) and Local Coverage Determination (LCD) process on behalf of Sutter Health hospitals to ensure physician and hospital compliance with conditions of coverage prescribed within Medicare National Coverage Determination.