Admissions Specialist I

Texas Health Resources•Bedford, TX

7d•Onsite

About The Position

The Admissions Specialist I welcomes patients and their families, helps them feel at ease, and supports a smooth hospital visit. The role gathers accurate demographic information for the electronic health record, verifies network coverage and healthcare benefits, and obtains or validates pre-certification for applicable tests and procedures. It also explains relevant legal, ethical, compliance, and financial documents; secures appropriate regulatory consents; prepares estimates; and collects applicable co-payments, self-pay deposits, and patient balances. The specialist ensures required payer and government documentation is complete, including MSPQ, Important Message from Medicare (IMM), and medical-necessity checks such as ABN and Letters of Non-Coverage. The role maintains awareness of contracted insurance plans, communicates out-of-network status and potential financial implications, follows applicable regulations and policies, and meets customer service and productivity guidelines. It also involves maintaining the daily Epic work queue and personal Employee Scorecard Dashboard, supporting peers, participating in meetings and improvement work, and completing other assigned duties.

Requirements

High school diploma or equivalent.
At least 1 year of relevant customer service experience.
Maintain CPI (Crisis Prevention Intervention) training annually; required within 90 days.
Ability to promptly assess requests using electronic and paper resources and accurately respond to patient inquiries.
Strong data-entry, numeric, typing, and computer-navigation skills with attention to detail.
Computer proficiency, including medical terminology, Epic, Microsoft Office, and assorted software programs.
Professional presence and critical-thinking skills to troubleshoot issues.
Excellent listening, interpersonal, and communication skills, with professional, pleasant, and respectful telephone etiquette.
Ability to maintain a professional demeanor in stressful and emotional situations, including crime, behavioral health, patient suffering, and life-or-death circumstances.
Empathy and the ability to communicate effectively with patients and families during life-changing events while providing exceptional customer service.
Ability to manage multiple and changing priorities effectively and in an organized manner, and appropriately escalate concerns to leadership.

Nice To Haves

2 years of professional office or healthcare experience.
CHAA (Certified Healthcare Access Associate) certification upon hire.

Responsibilities

Welcome arriving patients and families and help set a reassuring tone for their visit.
Gather complete and accurate demographic information to maintain electronic health record integrity.
Identify network coverage and obtain or validate healthcare benefits and pre-certification for applicable tests and procedures.
Explain applicable legal, ethical, and compliance documents and ensure regulatory consents are signed by the appropriate parties.
Explain patient financial obligations, prepare estimates, and collect applicable co-payments, self-pay deposits, and balances.
Complete payer- and government-required elements, including MSPQ, Important Message from Medicare (IMM), and medical-necessity checks such as ABN and Letters of Non-Coverage.
Comply with applicable regulations, operating systems, and entity and system policies and procedures.
Meet customer service and productivity guidelines established by leadership.
Maintain awareness of contracted insurance plans and inform patients and families about out-of-network status and potential financial implications.
Maintain the daily Epic work queue and personal Employee Scorecard Dashboard.
Mentor peers, remain flexible, and adapt to change.
Participate in staff meetings, process improvement, and special projects, and complete other duties as assigned.