Admissions Specialist I

Texas Health Resources•Arlington, TX

1d•Onsite

About The Position

The Admissions Specialist I welcomes patients and their families, helping them feel at ease and setting a positive tone for their visit. The role gathers accurate demographic information, verifies insurance coverage and benefits, and obtains pre-certifications when applicable. It also explains required legal, ethical, and compliance documents, ensures appropriate regulatory consents are signed, and helps patients understand financial obligations and payment estimates. The specialist completes required payer and government documentation, including the MSPQ and Important Message from Medicare, and performs medical-necessity checks such as ABNs and Letters of Non-Coverage. The role maintains compliance with applicable regulations and organizational policies, follows customer-service and productivity standards, maintains daily Epic work queues and a personal Employee Scorecard Dashboard, and communicates potential out-of-network costs to patients and families. The position also contributes to team development, meetings, process improvement, and special projects.

Requirements

High school diploma or equivalent.
At least 1 year of relevant customer service experience.
CPI (Crisis Prevention Intervention) training maintained annually; required within 90 days.
Ability to assess requests promptly using electronic and paper resources and respond accurately to patient inquiries.
Strong data-entry, numeric, typing, and computer-navigation skills, with attention to detail.
Proficiency with computers, 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 and respectful telephone etiquette.
Ability to maintain a professional demeanor in stressful and emotional situations, including interactions involving crime, behavioral health, 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 in an organized manner and escalate concerns appropriately.

Nice To Haves

2 years of professional office or healthcare experience.
Experience in outpatient scheduling, patient registration, and insurance verification.
CHAA (Certified Healthcare Access Associate) certification upon hire.

Responsibilities

Welcome patients and their families and help them feel at ease when they arrive.
Gather complete and accurate patient demographic information to support electronic health record integrity.
Identify network coverage and obtain or validate healthcare benefits and pre-certifications for applicable tests and procedures.
Educate patients and families about applicable legal, ethical, and compliance documents and ensure required consents are signed by the appropriate parties.
Explain patient financial obligations and prepare estimates for co-payments, self-pay deposits, and outstanding balances.
Complete payer- and government-required elements, including the MSPQ and Important Message from Medicare, and perform medical-necessity checks such as ABNs and Letters of Non-Coverage.
Stay current with and comply with applicable regulations, operating systems, and entity and system policies and procedures.
Meet customer-service and productivity guidelines set by leadership.
Mentor peers, demonstrate flexibility, and adapt to change.
Participate in staff meetings, process improvement, and special projects, and complete other duties as assigned.
Maintain the daily Epic work queue and personal Employee Scorecard Dashboard.
Maintain awareness of contracted insurance plans and notify patients and families about out-of-network coverage and potential financial implications.