About The Position

The Oncology Patient Access Specialist 3 works under the general supervision of the office supervisor and medical staff, following established policies and procedures. The position gathers and records information needed to financially clear hospital or TGMG procedures and services, and obtains and verifies patient demographic, confidential clinical, insurance, and financial information to schedule visits, surgery, and other procedures accurately and efficiently. The role supports oncology services through patient check-in, insurance notifications and authorizations, follow-up calls, and responses to staff messages. It requires knowledge of medical terminology, scheduling systems, preoperative testing guidelines, and applicable CMS, JCAHO, and HIPAA requirements. The specialist works with clinical, administrative, insurance, and external professionals to help patients obtain health care and financial services, while performing duties in accordance with Tampa General Hospital’s mission, vision, and values.

Requirements

  • Experience with scheduling, registration, and insurance verification in a healthcare setting; the number of years is not specified.
  • Moderate expertise with computer programs, including Microsoft Office and database programs.
  • Ability to obtain and verify necessary demographic, clinical, insurance, and financial information before the date of service.
  • Moderate organizational skills to complete scheduling, preregistration, 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 when scheduling.
  • Knowledge of when special equipment or instructions may be required for scheduling.
  • Knowledge of how and when to schedule preoperative testing within established guidelines, with a high level of accuracy.
  • Knowledge of scheduling systems and awareness of the impact of accurate and appropriate scheduling.
  • Expertise in generating hospital accounts according to CMS and JCAHO requirements.

Responsibilities

  • Obtain and verify patient demographic, confidential clinical, insurance, and financial information needed to schedule patient visits, surgery, and other hospital procedures.
  • Assist with patient check-ins, insurance notifications, and authorizations for scheduled oncology hospital and TGMG services to support claim processing and reimbursement.
  • Make follow-up calls to patients after surgery and appointments, and answer staff messages.
  • Validate hospital accounts in accordance with CMS, JCAHO, and HIPAA requirements.
  • Work with nurses, medical staff, ancillary departments, insurance carriers, care management/utilization, HIMS, scheduling, and external professionals to assist patients with health care and financial services.
  • Schedule preoperative testing in accordance with established guidelines and identify when special equipment or instructions may be needed.
  • Perform job duties in accordance with Tampa General Hospital’s mission, vision, and values.
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