About The Position

Under 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 needed to financially clear hospital or TGMG procedures and services. The role supports accurate and efficient scheduling, registration, insurance verification, authorizations, and account preparation for oncology services.

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 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 the ability to quickly comprehend and accurately spell surgical and diagnostic procedures.
  • Ability to identify when special equipment or instructions may be required when scheduling.
  • Knowledge of how and when to schedule pre-operative testing according to established guidelines.
  • 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 demographics and confidential clinical and financial information to schedule patient visits, surgery, and other hospital procedures accurately and efficiently.
  • Assist with patient check-ins, insurance notifications, and authorizations for scheduled oncology hospital and TGMG services to support claims processing and reimbursement.
  • Make follow-up calls to patients after surgery and appointments, and respond to staff messages.
  • Follow CMS, JCAHO, and HIPAA requirements when validating hospital accounts.
  • Work with nurses, medical staff, ancillary departments, insurance carriers, care management and utilization, HIMS, scheduling teams, and external professionals to help patients obtain healthcare and financial services.
  • Perform job duties in accordance with Tampa General Hospital’s mission, vision, and values.
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