Patient Access Specialist 3 - Behavioral Health Operations

Tampa General Hospital
  • Tampa, FL
    2 days ago

    Job Description

    ''685399'',''true'',''685399'',''false'',''Submission for the position: Patient Access Specialist 3 - Behavioral Health Operations - (Job Number: 260003VS)'',''false'',''685399'',''false'',''true'',''Patient Access Specialist 3 - Behavioral Health Operations'',''260003VS'',''!*!

    Under general supervision of the Patient Access Manager or Supervisor and in accordance with established policies, procedures and professional guidelines, gathers and records all necessary information in the process of financially clearing a hospital procedure, service or stay. Demonstrates expertise with all proficiencies of a PAS 2. Responsible for performing job duties in accordance with mission, vision and values of Tampa General Hospital.

    Essential Functions

    • 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.
    • Works directly with nurses, medical staff, ancillary departments, insurance carriers, care management/utilization, HIM, scheduling and other external professionals to assist patients with obtaining health care and financial services.
    • Recognizes and adheres to all CMS, JCAHO, and HIPAA requirements when validating the hospital account.
    • Refer potential Medicaid or County patients to FAS for Medicaid application and approval; monitor all in-house accounts for possible financial issues.
    • Provides clinic office visit self-pay pricing to unfunded patients.

    '',''!*!

    Under general supervision of the Patient Access Manager or Supervisor and in accordance with established policies, procedures and professional guidelines, gathers and records all necessary information in the process of financially clearing a hospital procedure, service or stay. Demonstrates expertise with all proficiencies of a PAS 2. Responsible for performing job duties in accordance with mission, vision and values of Tampa General Hospital.

    Essential Functions

    • 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.
    • Works directly with nurses, medical staff, ancillary departments, insurance carriers, care management/utilization, HIM, scheduling and other external professionals to assist patients with obtaining health care and financial services.
    • Recognizes and adheres to all CMS, JCAHO, and HIPAA requirements when validating the hospital account.
    • Refer potential Medicaid or County patients to FAS for Medicaid application and approval; monitor all in-house accounts for possible financial issues.
    • Provides clinic office visit self-pay pricing to unfunded patients.

    '',''!*!

    Education

    • High School Diploma or GED

    Work Experience

    • Two (2) years of experience in Patient Access as a PAS 2 or equivalent with scheduling and/or registration and/or insurance verification in a healthcare setting.
    • An equivalent combination of education and years of experience may be considered.

    Technical Knowledge, Skills, and Abilities

    • Proficient with word processing, databases, spreadsheets and EMR platforms and applications.
    • Knowledge of CMS, TJC, AHCA regulations as pertaining to hospital registration, UB billing compliance.
    • Knowledge of Medicaid, Medicare, Commercial Insurance, Healthcare Marketplace Insurance and Hillsborough County Health Care Program (HCHCP).
    • Knowledge of commercial, federal, state and third-party payors.
    • Exceptional time management and organization skills.
    • Ability to handle difficult and stressful situations with professional composure.
    • Ability to provide excellent customer service.
    • Ability to analyze, organize and prioritize work while meeting multiple deadlines.
    • Ability to identify and/or calculate patient responsibility (copays, deductible, out-of-pocket maximums, coinsurance).

    '',''!*!

    Education

    • High School Diploma or GED

    Work Experience

    • Two (2) years of experience in Patient Access as a PAS 2 or equivalent with scheduling and/or registration and/or insurance verification in a healthcare setting.
    • An equivalent combination of education and years of experience may be considered.

    Technical Knowledge, Skills, and Abilities

    • Proficient with word processing, databases, spreadsheets and EMR platforms and applications.
    • Knowledge of CMS, TJC, AHCA regulations as pertaining to hospital registration, UB billing compliance.
    • Knowledge of Medicaid, Medicare, Commercial Insurance, Healthcare Marketplace Insurance and Hillsborough County Health Care Program (HCHCP).
    • Knowledge of commercial, federal, state and third-party payors.
    • Exceptional time management and organization skills.
    • Ability to handle difficult and stressful situations with professional composure.
    • Ability to provide excellent customer service.
    • Ability to analyze, organize and prioritize work while meeting multiple deadlines.
    • Ability to identify and/or calculate patient responsibility (copays, deductible, out-of-pocket maximums, coinsurance).

    '',''Tampa'',''Tampa'','''','''',''

    TGH Main Campus (TGHMAIN)

    1 Tampa General Circle

    Tampa, 33601

    '',''TGH Main Campus'',''1 Tampa General Circle'','' '',''Tampa'',''33601'',''Hybrid Remote'',''Hybrid Remote'',''Patient Financial Services'',''Patient Financial Services'',''Florida Health Sciences Center Tampa General Hospital'',''Florida Health Sciences Center Tampa General Hospital'',''Full-time'',''Full-time'',''Monday, Tuesday, Wednesday, Thursday, Friday'',''Monday, Tuesday, Wednesday, Thursday, Friday'',''Day Job'',''Day Job'','''','''',''Hybrid Remote'',''Hybrid Remote'','''','''','''','''',''0800-1700'',''0800-1700'',''37,252.80'',''37,252.80'',''Sep 28, 2026, 9:02:35 AM'',''Sep 28, 2026, 9:02:35 AM'',''false'',''685399'',''685399'',''true'',''685399'',''false'',''Submission for the position: Patient Access Specialist 3 - Behavioral Health Operations - (Job Number: 260003VS)'',''false'',''685399'',''false'',''true''

    Numbers & Facts

    LocationTampa, FL

    Skills

    • American Health Care Association (AHCA)unmatched
    • Analysis Skillsunmatched
    • Behavioral Healthunmatched
    • Billingunmatched
    • Claims Processingunmatched
    • Clinical Informationunmatched
    • Co-Paymentsunmatched
    • Content Management Systems (CMS)unmatched
    • Customer Support/Serviceunmatched
    • Demographicsunmatched
    • Electronic Medical Recordsunmatched
    • Establish Prioritiesunmatched
    • Financial Managementunmatched
    • Financial Servicesunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Health Insuranceunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • High School Diplomaunmatched
    • Hospitalunmatched
    • Insuranceunmatched
    • Medicaidunmatched
    • Medical Billingunmatched
    • Medicareunmatched
    • Nursingunmatched
    • Organizational Skillsunmatched
    • Patient Administration Systems (PAS)unmatched
    • Policy Developmentunmatched
    • Pricingunmatched
    • Procedure Developmentunmatched
    • Regulationsunmatched
    • Reimbursementunmatched
    • Requirements Validation/Verificationunmatched
    • Spreadsheetsunmatched
    • The Joint Commission (TJC)unmatched
    • Time Managementunmatched
    • Word Processingunmatched

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