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. 

Responsible for ensuring insurance information and authorizations are accurate for appropriate billing. Works in partnership with the RN/Nurse Manager and referring providers to ensure accuracy of scheduling, laboratory order entries, and activations. Works in partnership with Patient Financial Services (department 8221) in reviewing denials and preparing appeals for correct reimbursement. Works in partnership with Finance (department 8211) and Charge Capture (department 8243) to ensure the charge master is accurate and up to date. Analyzes and audits daily reports to ensure optimum workflow; communicates with end users to identify issues and recommend workflow changes.

Reports: Nurse Manager or Designee

Supervises: None

Required Education:

Associate degree in a health- or finance-related field. Human Resources (HR) may accept post-secondary school healthcare authorization and/or billing experience (in addition to the minimum required experience below) on a 1- year:1-year basis in lieu of the required post-secondary education.

Required Experience:

Two (2) years of healthcare authorization and/or billing experience

License: None

PREFERRED QUALIFICATIONS: Experience with Microsoft Office (i.e., Outlook, Excel, Word, and Access). Strong knowledge of coding, billing, and reimbursement processes. Strong workflow knowledge. Excellent written and oral communication skills. Good interpersonal skills sufficient to allow interacting with and directing other colleagues. Ability to understand and/or learn multiple computer programs and/or systems.

If you are interested in becoming a part of TMH’s legacy of quality & compassionate healthcare, we want to know you.

Please submit your application & resume TODAY!  We look forward to speaking with you.

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.

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.