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.
RN/Nurse Manager
None
Required Education: High School diploma or equivalent
Required Experience: Minimum: 1 year healthcare exp
Required Certification/License/Registry: None
Preferred Qualifications. 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.
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.