Admissions Specialist I

Texas Health Resources•Roanoke, TX

3d•Onsite

About The Position

The Admissions Specialist I welcomes patients and families, helps them feel at ease, and supports a seamless visit by accurately gathering demographic information and maintaining the integrity of the electronic health record. The role identifies network coverage, validates benefits or pre-certification when applicable, explains relevant legal and compliance documents, obtains required consents, and discusses patient financial obligations and estimates. It also ensures required payer and government documentation is completed, follows applicable regulations and policies, maintains service and productivity standards, and keeps the daily Epic work queue and personal Employee Scorecard Dashboard current. The specialist communicates with patients and families about out-of-network coverage and potential financial implications, collaborates with peers and hospital departments, and participates in meetings and improvement work. This is a full-time position at Texas Health Alliance in Fort Worth. The schedule is Monday, Tuesday, and Wednesday from 6:30 p.m. to 7:00 a.m., with on-call coverage Thursday from 6:30 p.m. to 7:00 a.m. The department offers learning opportunities and exposure to a fast-paced, multi-department hospital environment.

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.
Computer skills and proficiency with medical terminology, Epic, Microsoft Office, and assorted software programs.
Professional presence and the ability to troubleshoot using critical thinking skills.
Exceptional listening, interpersonal, and communication skills, as well as professional 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 in an organized manner and escalate concerns appropriately.

Nice To Haves

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

Responsibilities

Welcome patients and their families and help put them at ease when they arrive.
Gather complete and accurate patient 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.
Educate patients and families about legal, ethical, and compliance documents and ensure required regulatory consents are signed by the appropriate parties.
Explain financial obligations and prepare estimates for co-payments, self-pay deposits, and patient balances.
Complete payer- and government-required elements, including the MSPQ, Important Message from Medicare (IMM), and medical necessity checks such as ABN and Letter 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 established by leadership.
Mentor peers, demonstrate flexibility, and adapt to change.
Participate in staff meetings, process improvement, and special projects, and complete other assigned duties.
Maintain the daily Epic work queue and personal Employee Scorecard Dashboard.
Maintain awareness of THR contracted insurance plans and explain out-of-network status and potential financial implications to patients and families.