Insurance Verification Special

Tallahassee Memorial HealthCare, Inc.; Tallahassee (FL); On-site; USD 22,000 - 30,000; Full time

Job summary

Tallahassee Memorial Healthcare is seeking a Patient Access Representative to verify insurance coverage, authorization, and patient details at the point of service. You will interact with physician offices, third-party payers, and patients to ensure accurate information and smooth processes.

Success requires strong customer service, attention to detail, and the ability to communicate complex financial information clearly. This role reports to the RN/Nurse Manager within a hospital setting.

Qualifications

• High school diploma or equivalent.
• HR may accept relevant, directly related professional experience in lieu of required education.
• Associate degree in medical terminology or health care management is preferred.
• One year of experience in reception, customer service, and/or record keeping is required.

Responsibilities

• Ensures patients have correct insurance plan, policy number, and authorization number.
• Uses excellent customer service when interacting with physician offices, payers, and patients.
• Communicates financial and insurance information to Case Management, Utilization Management, and Financial Counseling staff.
• Performs duties in line with facility policies and standards.

Education

High school diploma or equivalent

Associate degree in medical terminology or health care management

Job description

Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6,000 colleagues who reflect the diversity of our community.
TMH is the region's healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region's only:

• Level II Trauma Center
• Primary Stroke Center
• Level III Neonatal Intensive Care
• Pediatric Intensive Care
• The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle.

Our system also includes a psychiatric hospital, multiple specialty care centers, six residency programs and more than 50 affiliated physician practices.

Qualifications

Required Education:

• High school diploma or equivalent (e.g., certificate of high school equivalency).
• Human Resources (HR) may accept relevant, directly related professional experience in lieu of required education. Experience accepted in lieu of required education will not be applied to the minimum education requirement below (i.e., the same experience will not be counted twice).

Preferred Education:

• Associate degree in medical terminology or health care management.

Required Experience:

• One (1) year of experience in reception, customer service, and/or record keeping

Preferred Experience:

• Experience in patient access, billing, cash collections, insurance, and pre-certification requirements
• Directly related hospital experience.

Required Certification/License/Registry:

• None

Responsibilities

Your Role:

• Ensures that all patients receiving services at Tallahassee Memorial Hospital have been assigned the correct insurance plan, policy number, and authorization number.
• Utilizes excellent customer service skills when working with physician offices, third party payers, and patients.
• Communicates financial and insurance information to Case Management, Utilization Management, and Financial Counseling staff members (when appropriate).
• Performs these functions in accordance with the facility's philosophy, policies, procedures, and standards.

Reports To:

• RN/Nurse Manager (JC: 031001)

Supervises:

• None