Job description
Financial Assistance Specialist 1
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(
230000I3
)
Description
Facility Profile
TGH is the area’s only level I trauma center and one of just two ABA-verified adult & pediatric burn centers in Florida. With five medical helicopters*, we transport critically injured or ill patients from 23 surrounding counties to receive the advanced care they need. The hospital is home to one of the busiest solid organ transplant centers in the country. TGH is a nationally designated comprehensive stroke center, and has a 32-bed Neuroscience Intensive Care Unit. Other outstanding centers include cardiovascular, orthopedics, high-risk and normal obstetrics, urology, ENT, endocrinology, and the Children’s Medical Center, which features a nine-bed pediatric intensive care unit and pediatric kidney transplant services. As the region’s leading safety net hospital, Tampa General is committed to providing area residents with world-class and compassionate health care ranging from the simplest to the most complex medical services.
Tampa General Hospital was named the #1 hospital in Tampa Bay by U.S. News & World Report, 2020-2021, and recognized as one of America's Best Hospital's in five medical specialties: Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology & GI Surgery, Nephrology, and Orthopedics. Tampa General Hospital has been designated a Magnet Hospital by the American Nurses Credentialing Center (ANCC), the highest recognition for nursing excellence, for the fourth consecutive time – an accomplishment that fewer than one percent of hospitals nationwide have earned. TGH is accredited by The Joint Commission and was awarded disease-specific certification in five medical specialties. TGH is also accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). *Air transport provided by Metro Aviation, Inc.
Tampa General Hospital was named the #1 hospital in Tampa Bay by U.S. News & World Report, 2020-2021, and recognized as one of America's Best Hospital's in five medical specialties: Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology & GI Surgery, Nephrology, and Orthopedics. Tampa General Hospital has been designated a Magnet Hospital by the American Nurses Credentialing Center (ANCC), the highest recognition for nursing excellence, for the fourth consecutive time – an accomplishment that fewer than one percent of hospitals nationwide have earned. TGH is accredited by The Joint Commission and was awarded disease-specific certification in five medical specialties. TGH is also accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). *Air transport provided by Metro Aviation, Inc.
Department Profile
Tampa General Hospital’s Revenue Cycle department delivers comprehensive administrative and clinical services and comprises of four departments – Patient Accounts, Health Information Management, Patient Access, and CDI/Coding. The Patient Accounts Department is a segment of the revenue cycle, responsible for the billing of hospital and professional claims to insurance carriers. The Health Information Management department at Tampa General Hospital is the guard of the electronic health record, collaborating with contributors and customers of health information that include the Medical Staff, Clinical Operations, Information Technology and Finance. While the physicians, nurse and health care team are taking care of patients and loved ones, Health Information Management professionals are the ones taking care of patients' health information— ensuring it is captured, complete, accurate, protected and made available when needed. Patient Access provides scheduling services to all TGMG locations, radiology locations and other ancillary services. Financial clearance teams ensure scheduled services are authorized for all service lines. Patient access teams are positioned throughout Tampa General Hospital and in the TGH Emergency Department, TGH Brandon Healthplex, and Rehabilitation locations. The call center is located at the WFLA News Station in downtown Tampa.
Job Summary
The Financial Assistance Specialist position requires extensive knowledge of Managed Care, Medicaid, Medicare, Medicare Disability, Hillsborough County Health Care Program (HCHCP), Health Care Responsibility Act (HCRA) and Victims of Crime, as well as having expertise in Customer Service and exceptional time management and organizational skills. The responsibilities of a Financial Assistant Specialist include, but are not limited to: Interviewing Private Pay and under-insured patients to determine eligibility for government Financial assistance programs; assessing patient financial capabilities; preparation of charity care application, including the Utilization Letter (EA Letter) for illegal aliens as required by the Department of Children & Families (DCF); acquisition of all necessary documentation as required by the respective Government Agencies, including Social Security Disability (SSI/SSD), which may require additional contact with the patient or the patient’s family, even after discharge; submission of the assistance application to appropriate agency within specified timely filing requirements; tracking assistance applications, documenting location, status, approval or denial; attending DCF hearings to appeal cases that have been closed in error; notifying the Financial Assistance Specialist Team Lead of approvals or denials. Must provide counseling services for identifying and obtaining payment sources; postponing service for any patient, if no insurance or inappropriate insurance coverage and patient cannot pay the amount due. Explain financial accountability to the patient and/or guarantor/family; establish and obtain payment arrangements for patients that cannot be postponed or unable to pay co-pays and/or deductibles at the time of service. Notify patients of gaps/weaknesses in coverage and potential non covered services (i.e ABN). While patient is still in-house, follows up on all W/C and Auto admissions missing billing information. Responsible for performing all job duties in accordance with mission, vision and values of Tampa General Hospital.
Qualifications
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High School Diploma or GED
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Associate Degree in Business preferred and completion of the CPAT exam is a plus. Knowledge of Medicaid, Medicare, Medicare Disability, Hillsborough County Health Care Program (HCHCP), Victims of Crime, PCIP, and Healthcare Exchange preferred.
Primary Location
: Tampa
Work Locations
: TGH Main Campus 1 Tampa General Circle Tampa 33606
Eligible for Remote Work
: On Site
Job
: Patient Financial Services
Organization
: TGH - Hospital
Schedule
: Full-time
Scheduled Days
: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Shift
: Day Job
Shift Hours
: 8:30am-5:00pm
Job Posting
: Mar 21, 2023, 5:43:24 PM
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