Patient Access Specialist 3 - Scheduling

Tampa General HospitalTampa, FL
132d

About The Position

Under general supervision of the Patient Access Manager or Supervisor, follows established policies and procedures; gathers and records all necessary information in the process of financially clearing a hospital procedure or stay. Demonstrates expertise with all proficiencies of a PAS 2. Responsible for verifying demographic, confidential clinical and financial information necessary to accurately and efficiently execute insurance verifications, notifications, authorizations, pre certifications, et al, to support claim processing and reimbursement for scheduled and unscheduled hospital services. Responsible for calculating, communicating and collecting all patient financial responsibilities based on the patient’s health plan(s) prior to the scheduled date of service. 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.

Requirements

  • High School Diploma or G.E.D.
  • Approved medical terminology certification or completion of a medical terminology course with satisfactory scores within 6 months of hire.
  • Minimum of 3 years experience as a PAS 2 or equivalent in scheduling, registration, or insurance verification in a healthcare setting.
  • Moderate expertise with computer programs including Microsoft Office and Database programs.

Responsibilities

  • Gathers and records necessary information for financially clearing hospital procedures or stays.
  • Verifies demographic, clinical, and financial information for insurance verifications.
  • Executes notifications, authorizations, and pre-certifications to support claim processing.
  • Calculates, communicates, and collects patient financial responsibilities based on health plans.
  • Adheres to CMS, JCAHO, and HIPAA requirements when validating hospital accounts.
  • Collaborates with nurses, medical staff, and other departments to assist patients.
  • Performs job duties in accordance with the mission, vision, and values of Tampa General Hospital.
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