Charge Capture & Reimbursement Analyst

Tallahassee Memorial HealthCare; Tallahassee (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

Tallahassee Memorial HealthCare in Tallahassee, FL seeks a Billing Specialist to ensure accurate insurance data and authorizations for billing. You will collaborate with the nursing leadership and providers to verify schedules and orders, and work with Patient Financial Services to address denials and appeals.

The role supports Finance and Charge Capture teams to keep the charge master accurate and up to date, while analyzing daily reports to identify workflow improvements and communicate

Qualifications

• High school diploma or equivalent (e.g., GED).
• Associate degree in finance or health-related field preferred.
• Two years of healthcare finance, authorization, reimbursement or billing experience required.
• Two+ years of clinical experience; MS Office experience.
• Strong knowledge of coding, billing and reimbursement processes; strong workflow knowledge.
• Excellent written communication.

Responsibilities

• Ensure insurance information and authorizations are accurate for billing.
• Collaborate with RN/Nurse Manager and providers to verify scheduling and orders.
• Review denials and prepare appeals for correct reimbursement.
• Coordinate with Finance and Charge Capture to ensure the charge master is accurate.
• Analyze daily reports to optimize workflow and inform end users of issues.

Skills

MS Office

Workflow knowledge

Billing knowledge

Written communication

Education

RN/LPN license

Associate degree preferred

Tools

MS Office (Outlook, Excel, Word, Access)

Job description

Tallahassee Memorial HealthCare in Tallahassee, FL seeks a Billing Specialist to ensure accurate insurance data and authorizations for billing. You will collaborate with the nursing leadership and providers to verify schedules and orders, and work with Patient Financial Services to address denials and appeals.

The role supports Finance and Charge Capture teams to keep the charge master accurate and up to date, while analyzing daily reports to identify workflow improvements and communicate