About this role
WHO WE ARE & WHAT WE DO
Tallahassee Memorial HealthCare (TMH) is a private, nonprofit community-based healthcare system that provides advanced 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.
HOW YOU'LL MAKE AN IMPACT
Your Role:
- Manages the prior authorization process for medical procedures, treatments, and medications; uses a proactive approach to ensure prompt approvals and facilitate smooth patient care.
- Manages prior authorizations.
- Maintains documents and records.
- Verifies insurance coverage.
- Collaborates with healthcare providers, physicians, and clinical staff members.
- Audits documents to ensure regulatory compliance.
- Displays an understanding of diversity.
- Demonstrates integrity, compassion, accountability, respect, and excellence (I CARE values).
- Enhances and contributes to a safe environment for all colleagues, visitors, and patients.
- Performs miscellaneous duties.
Reports To : MS [Medicus Select]/Director Operations (JC: 820802).
Supervises : None.
WHAT YOU’LL NEED TO APPLY
Required Education: High school diploma or equivalent (e.g., certificate of high school equivalency).
Preferred Education: Vocational certificate or associate degree in a healthcare, education, information science, or related field.
Required Experience: Two (2) years of relevant, job-related work experience.
Preferred Experience:
- Two (2) years of experience with Allscripts Practice Management (PM) and Electronic Health Records (EHR) and/or in insurance, billing, and collections.
- Clinical background or experience in a medical setting.
- Knowledge of charges, payments, and collections.
- Knowledge of Allscripts.
- Ability to multi-task effectively.
- Very meticulous.
Required Certification/License/Registry: None.
Preferred Certification/License/Registry: None.
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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.