Authorization Specialist -TGMG Centralized Referrals
Job 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.
Department Profile
Tampa General Medical Group (TGMG) is an affiliate of Tampa General Hospital and includes physicians specializing in cardiology, digestive disorders, endocrinology, family practice, hepatology (liver disease), internal medicine, organ transplantation, pediatrics and surgery. TGMG physicians provide care at convenient locations throughout the Tampa area.
Job Summary
Under general supervision of the Office Supervisor, follows established policies and procedures; gathers and records all necessary information in the process of scheduling an office procedure and generating an office account. Demonstrates expertise with all proficiencies of a PSS 1. Responsible for obtaining and verifying demographic, confidential clinical and financial information necessary to accurately and efficiently schedule surgery and other office/hospital procedures. Pre-registers patient, verifies insurance eligibility and benefits, identifies those services that require an insurance authorization, notification and/or Precert. Recognizes and adheres to all CMS, JCAHO, and HIPAA requirements when creating a hospital account. Works directly with nurses, medical staff, ancillary departments, insurance carriers 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.
Required Skills
High School Diploma or GED required.
Approved medical terminology certification or med term course completion and 2 years of PSS1 Experience OR Graduate of Medical Assistant Program.
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