Admissions Specialist I

Texas Health Resources•Bedford, TX

3h•Onsite

About The Position

The Admissions Specialist I welcomes patients and their families, helps put them 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, obtains or validates pre-certifications when applicable, and helps maximize reimbursement for services rendered. The specialist explains applicable legal, ethical, and compliance documents and ensures required regulatory consents are signed by the appropriate parties. The role also explains patient financial obligations, prepares estimates, and collects co-payments, self-pay deposits, and balances. It ensures required payer and government elements are completed, including MSPQ, Important Message from Medicare (IMM), and medical necessity checks such as ABN and Letter of Non-Coverage. The position maintains compliance with applicable regulations, operating systems, and organizational policies and procedures; meets customer service and productivity guidelines; maintains a daily Epic work queue and personal Employee Scorecard Dashboard; and stays informed about contracted insurance plans to advise patients and families about out-of-network coverage and potential financial implications. The specialist also mentors peers, adapts to change, participates in staff meetings and improvement activities, and performs other assigned duties. This is a full-time position at Texas Health HEB in Bedford, Texas. The stated schedule is Saturday, Sunday, and Monday, 7:00 p.m. to 7:30 a.m. The department describes a fast-paced, multi-department environment, learning opportunities, interaction with hospital departments, and a friendly, family-oriented workplace.

Requirements

High school diploma or equivalent.
At least 1 year of relevant customer service experience.
Ability to promptly assess requests using electronic and paper resources and respond correctly to patient inquiries.
Excellent 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 and polished presence, with critical-thinking and troubleshooting abilities.
Exceptional listening, interpersonal, and communication skills, including professional, pleasant, and respectful telephone etiquette.
Ability to maintain a professional demeanor in stressful and emotional situations, including those 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 changing priorities in an effective, organized manner and appropriately escalate concerns to leadership.
CPI (Crisis Prevention Intervention) Training maintained annually; required within 90 days.

Nice To Haves

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

Responsibilities

Welcome patients and families, help them feel at ease, and set a positive tone for their visit.
Gather complete and accurate demographic information to support electronic health record integrity.
Identify network coverage and obtain or validate healthcare benefits and applicable pre-certifications.
Explain applicable legal, ethical, and compliance documents and ensure regulatory consents are signed by appropriate parties.
Explain patient financial obligations, prepare accurate estimates, and collect co-payments, self-pay deposits, and patient balances.
Complete required payer and government elements, including MSPQ, Important Message from Medicare (IMM), and medical necessity checks such as ABN and Letter of Non-Coverage.
Keep 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, remain flexible, 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 Texas Health Resources contracted insurance plans and inform patients and families about out-of-network status and potential financial implications, including non-coverage.