Oncology Patient Access Specialist 3 - Cancer Institute Access Operations
Tampa General Hospital
Summary
Under general supervision of the office supervisor and medical staff follows established policies and procedures; gathers and records all necessary information to assist with financially clearing a hospital or TGMG procedure or service.
Job description
Essential Functions
- Responsible for obtaining and verifying patient demographics, confidential clinical and financial information necessary to accurately and efficiently schedule patient visits, surgery, and other hospital procedures.
- Assists with patient check in's, insurance notifications and authorizations for oncology scheduled hospital and TGMG services to support claim processing and reimbursement. Follow up calls post-surgery and appointment to patients and answers all staff messages.
- Recognizes and adheres to all CMS, JCAHO, and HIPAA requirements when validating the hospital account.
- Works directly with nurses, medical staff, ancillary departments, insurance carriers, care management/utilization, HIMS, scheduling, and other external professionals to assist patients with obtaining health care and financial services.
- Responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital.
Experience Qualifications
- Two years experience with scheduling, registration, insurance verification in a healthcare setting.
Skills and Abilities
- Moderate expertise with computer programs including but not limited to Microsoft Office and Database programs.
- Demonstrates current knowledge and level of expertise required to ensure all necessary demographic, clinical, insurance and financial information is obtained and verified prior to the date of service.
- Requires moderate organizational skills to complete scheduling, pre-registration, insurance verification and appropriate follow up within acceptable time frames.
- Requires above average knowledge of medical terminology and has the ability to quickly comprehend and accurately spell a multitude of surgical and diagnostic procedures during scheduling.
- Ability to know when special equipment or instructions may be required when scheduling.
- Knowledge of how and when to schedule pre-op testing within established guidelines and with a high level of accuracy.
- Knowledge of the scheduling systems and a keen awareness of the impact of accurate and appropriate scheduling.
- Demonstrates level of expertise in order to generate a hospital account according to CMS and JCAHO requirements.
Requirements
- Two years experience with scheduling, registration, insurance verification in a healthcare setting
- Moderate expertise with Microsoft Office and Database programs
- Above average knowledge of medical terminology
- Knowledge of CMS, JCAHO, and HIPAA requirements
- Moderate organizational skills
- Knowledge of scheduling systems and pre-op testing guidelines
Company overview
Tampa General Hospital is a leading academic medical center and regional healthcare system located in Tampa, Florida. As one of the largest hospitals in Florida, it serves as the primary teaching hospital for the University of South Florida Morsani College of Medicine. The hospital operates a comprehensive Level I trauma center, providing the highest level of trauma care available. Tampa General Hospital is nationally recognized for its expertise in organ transplantation, with one of the busiest transplant programs in the United States. The institution offers a wide range of specialized services including cancer care, cardiovascular medicine, neurosciences, women's health, and pediatric services. With its commitment to medical education and research, Tampa General Hospital plays a crucial role in advancing healthcare through clinical trials and innovative treatments. The hospital system includes multiple specialty centers and outpatient facilities throughout the Tampa Bay region, serving as a vital healthcare resource for millions of residents in West Central Florida.