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 the information necessary to financially clear hospital or TGMG procedures and services. The role supports accurate and efficient scheduling, registration, insurance verification, patient access, and claim processing for oncology services. The position requires obtaining and verifying patient demographic, confidential clinical, insurance, and financial information before the date of service. It also involves assisting with patient check-in, insurance notifications and authorizations, post-surgery and appointment follow-up calls, and responses to staff messages. The specialist works with clinical and administrative teams, insurers, and other professionals, while following applicable CMS, JCAHO, and HIPAA requirements and Tampa General Hospital’s mission, vision, and values.

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 comprehend and accurately spell surgical and diagnostic procedures during scheduling.
  • Knowledge of scheduling systems and the impact of accurate and appropriate scheduling.
  • Ability to generate hospital accounts according to CMS and JCAHO requirements.

Responsibilities

  • Obtain and verify patient demographic, confidential clinical, insurance, and financial information needed to schedule visits, surgery, and other hospital procedures accurately and efficiently.
  • 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.
  • Follow CMS, JCAHO, and HIPAA requirements when validating hospital accounts.
  • 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 services, complete pre-registration and insurance verification, and perform follow-up within acceptable time frames.
  • Determine when special equipment or instructions may be required and schedule pre-operative testing according to established guidelines.
  • Generate hospital accounts in accordance with CMS and JCAHO requirements.
  • Perform duties in accordance with Tampa General Hospital’s mission, vision, and values.
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