Admissions Specialist I - PT

Texas Health Resources•Denton, TX

13h•Onsite

About The Position

The Admissions Specialist I is responsible for welcoming patients and their families, gathering accurate demographic information, identifying correct network coverage, obtaining healthcare benefits and/or pre-certification, educating patients on legal/ethical documents, explaining financial obligations, preparing estimates, collecting payments, ensuring completion of required government forms, and complying with all applicable regulations and policies. This role also involves maintaining customer service and productivity guidelines, mentoring peers, adapting to change, participating in meetings and projects, and managing daily work queues and scorecards. The specialist must also maintain awareness of contracted insurance plans and communicate potential financial implications to patients.

Requirements

High School Diploma or Equivalent is required.
1 Year Relevant Customer Service experience required.
CPI - Crisis Prevention Intervention Training maintained annually 90 days required.
Ability to promptly assess requests by using electronic and paper resource materials and correctly respond to patient inquiries.
Excellent data entry, numeric, typing and computer navigational skills, with attention to details.
Proficient computer skills, medical terminology, Epic, Microsoft Office, and assorted software programs.
Exhibits a pleasant, professional, polished presence exhibiting the ability to troubleshoot utilizing critical thinking skills.
Requires exceptional listening, interpersonal and communication skills, and professional, pleasant, and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life-or-death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during life changing events, while demonstrating exceptional customer service skills.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner and appropriately escalating concerns to leadership.

Nice To Haves

2 Years Professional office/healthcare experience preferred.
CHAA - Certified Healthcare Access Associate Upon Hire preferred.

Responsibilities

Welcome patients and their families, putting them at ease and setting a positive tone.
Accurately gather complete demographic information to ensure electronic health record integrity.
Identify correct network coverage and obtain/validate healthcare benefits and/or pre-certification.
Educate patients and/or families about applicable legal, ethical, and compliance documents, and ensure regulatory consents are signed.
Engage with patients to understand their financial obligations and accurately prepare estimates to collect co-payments, deposits, and balances.
Ensure all payor and government required elements are completed correctly, including MSPQ, Important Message from Medicare (IMM), and medical necessity checking (ABN and Letter of Non-Coverage).
Stay up to date and comply with all applicable regulations, operating systems, entity, and system policies and procedures.
Maintain customer service and/or productivity guidelines.
Mentor peers, exhibit flexibility, and adapt easily to change.
Participate in staff meetings, process improvement, special projects, and complete other duties as assigned.
Maintain daily Epic work queue and personal Employee Scorecard Dashboard.
Maintain awareness and accuracy of THR contracted insurance plans.
Communicate with patients/families regarding Out of Network status and potential financial implications.