MS/Authorizations and Referrals

Tallahassee Memorial Healthcare • Tallahassee, FL

3d

About The Position

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 sending and receiving referrals electronically and via facsimile machine. Telephones or faxes clinical information to third party payers and health care agencies. Facilitates referrals for home care services. Facilitates assistance for patients identified as needing such for Home Health Care placement. Maintains department reports and supplies. Ensures department coverage. Ensures prior authorizations are submitted appropriately and timely. Schedules diagnostic procedures and Holter monitors with Tallahassee Memorial HealthCare (TMH) Radiology. Processes “stat” and durable medical equipment (DME) referrals.

Requirements

• High Schoold diploma or equivalent
• Minimum: 1 year healthcare exp

Nice To Haves

• Three (2) years of administrative experience.
• Knowledge of Allscripts, Availity, RadMD, Humana Military, Evicore, Capital Health PlanSM (CHP), and AIM Specialty Health® (AIM) insurance provider websites.
• Good attention to detail.

Responsibilities

• Sending and receiving referrals electronically and via facsimile machine.
• Telephones or faxes clinical information to third party payers and health care agencies.
• Facilitates referrals for home care services.
• Facilitates assistance for patients identified as needing such for Home Health Care placement.
• Maintains department reports and supplies.
• Ensures department coverage.
• Ensures prior authorizations are submitted appropriately and timely.
• Schedules diagnostic procedures and Holter monitors with Tallahassee Memorial HealthCare (TMH) Radiology.
• Processes “stat” and durable medical equipment (DME) referrals.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED