About The Position

Under the general supervision of the office supervisor and medical staff, the Oncology Patient Access Specialist 3 follows established policies and procedures and gathers and records information needed to financially clear hospital or TGMG procedures and services. The role supports accurate and efficient scheduling, registration, insurance verification, and follow-up for oncology patients receiving hospital and TGMG services. The specialist works with patients, hospital staff, insurance carriers, and external professionals to help patients obtain healthcare and financial services. The position requires adherence to the mission, vision, and values of Tampa General Hospital and compliance with applicable CMS, JCAHO, and HIPAA requirements.

Requirements

  • High school diploma or GED.
  • Experience with scheduling, registration, and insurance verification in a healthcare setting.
  • Moderate expertise with computer programs, including Microsoft Office and database programs.
  • Ability to obtain and verify demographic, clinical, insurance, and financial information before the date of service.
  • Moderate organizational skills to complete scheduling, pre-registration, insurance verification, and follow-up within acceptable time frames.
  • Above-average knowledge of medical terminology and ability to quickly comprehend and accurately spell surgical and diagnostic procedures during scheduling.
  • Ability to recognize when special equipment or instructions may be required when scheduling.
  • Knowledge of scheduling systems and awareness of the impact of accurate and appropriate scheduling.

Responsibilities

  • Obtain and verify patient demographic, confidential clinical, and financial information needed to schedule patient visits, surgeries, and other hospital procedures.
  • Assist with patient check-in, insurance notifications, and authorizations for scheduled oncology hospital and TGMG services to support claim processing and reimbursement.
  • Make post-surgery and appointment follow-up calls to patients and answer staff messages.
  • Validate hospital accounts while adhering to CMS, JCAHO, and HIPAA requirements.
  • Work with nurses, medical staff, ancillary departments, insurance carriers, care management/utilization, HIMS, scheduling, and external professionals to help patients obtain healthcare and financial services.
  • Schedule pre-op testing within established guidelines.
  • Generate hospital accounts according to CMS and JCAHO requirements.
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