Admissions Specialist I - PRN

Texas Health Resources•Denton, TX

1d•Onsite

About The Position

The Admissions Specialist I welcomes patients and their families, helps put them at ease, and supports a smooth visit by collecting accurate demographic information and maintaining electronic health record integrity. The role verifies network coverage and healthcare benefits, obtains or validates pre-certification when applicable, explains legal and compliance documents, ensures required consents are completed, and discusses financial obligations and estimates for patient payments. The specialist completes required payer and government documentation, including MSPQ, Important Message from Medicare (IMM), and medical necessity checks such as ABN and Letter of Non-Coverage. The position maintains a daily Epic work queue and personal Employee Scorecard Dashboard, stays current with applicable regulations and policies, and communicates potential out-of-network coverage and financial implications to patients and families. This PRN role works rotating shifts in the Admissions Department at Texas Health Denton.

Requirements

High school diploma or equivalent.
At least 1 year of relevant customer service experience.
Annual CPI (Crisis Prevention Intervention) training maintained; required within 90 days.
Ability to promptly assess requests 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.
Critical-thinking and troubleshooting skills, and a pleasant, professional, polished presence.
Exceptional listening, interpersonal, and communication skills, with 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 family members during life-changing events while providing exceptional customer service.
Ability to manage multiple and changing priorities in an organized and effective 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, help them feel at ease, and establish a positive tone for their visit.
Collect complete and accurate demographic information to support 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 applicable legal, ethical, and compliance documents and ensure regulatory consents are signed by the appropriate parties.
Explain patient financial obligations and prepare estimates for co-payments, self-pay deposits, and patient balances.
Complete payer- and government-required elements, including MSPQ, Important Message from Medicare (IMM), and medical necessity checks such as ABN and Letter 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.
Mentor peers, remain flexible, 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 Texas Health Resources contracted insurance plans and inform patients and families about out-of-network status and potential financial implications, including non-coverage.