Pool oncology patient access specialist 3 - tgh cancer institute access operations

Under general supervision of the office supervisor and medical staff follows established policies and procedures; gathers and records all necessary information to assist with financially clearing a hospital or TGMG procedure or service.

What you will do

Responsible for obtaining and verifying patient demographics, confidential clinical and financial information necessary to accurately and efficiently schedule patient visits, surgery, and other hospital procedures. Assists with patient check in’s, insurance notifications and authorizations for oncology scheduled hospital and TGMG services to support claim processing and reimbursement. Follow up calls post-surgery and appointment to patients and answers all staff messages. 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.

Skills and Abilities

Moderate expertise with computer programs including but not limited to Microsoft Office and Database programs. Demonstrates current knowledge and level of expertise required to ensure all necessary demographic, clinical, insurance and financial information is obtained and verified prior to the date of service. Requires moderate organizational skills to complete scheduling, pre-registration, insurance verification and appropriate follow up within acceptable time frames. Requires above average knowledge of medical terminology and has the ability to quickly comprehend and accurately spell a multitude of surgical and diagnostic procedures during scheduling. Ability to know when special equipment or instructions may be required when scheduling. Knowledge of how and when to schedule pre-op testing within established guidelines and with a high level of accuracy. Knowledge of the scheduling systems and a keen awareness of the impact of accurate and appropriate scheduling. Demonstrates level of expertise in order to generate a hospital account according to CMS and JCAHO requirements.