Insurance Verification Specialist - Infusion Unit - Outpatient - Tallahassee Memorial Healthcare

Tallahassee Memorial HealthCare (TMH) is a private, nonprofit community-based healthcare system that provides advanced care to a 21-county region in North Florida and South Georgia. We are a career destination with nearly 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
• Joint Commission Comprehensive 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, four residency programs and nearly 40 affiliated physician practices.

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

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

Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen, background check, reference verification, health assessment, and credential/license verification.