Insurance Verification Special

Tallahassee Memorial HealthCare, Inc.; Tallahassee, Northern (FL, KY); Hybrid; USD 35,000 - 48,000; Full time

Job summary

Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based system serving a 22-county region in North Florida and South Georgia. TMH seeks a detail-oriented team member to verify insurance coverage, assist patients with access, and coordinate information with case management and billing.

Required education includes a high school diploma; an associate degree in medical terminology or health care management is preferred. Prior hospital or patient access experience is a plus.

Qualifications

• High school diploma or equivalent is required; experience considered in lieu of education.
• Associate degree in medical terminology or health care management preferred.
• One year of experience in reception, customer service, and/or record keeping required.
• Experience in patient access, billing, cash collections, insurance, and pre-certification preferred.

Responsibilities

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

Skills

Customer service

Communication

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