Admissions Specialist I

Texas Health Resources•Roanoke, TX

4d•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, confirms network coverage and healthcare benefits, and obtains or validates pre-certification for applicable tests and procedures. It also explains relevant legal, ethical, and compliance documents and ensures required consents are signed by the appropriate parties. The specialist discusses patients’ financial obligations under the financial policy and prepares estimates for co-payments, self-pay deposits, and balances. The role ensures required payer and government elements are completed, including the MSPQ, Important Message from Medicare (IMM), and medical-necessity checks such as ABN and Letter of Non-Coverage. The specialist maintains awareness of contracted insurance plans and informs patients and families about out-of-network status and potential financial implications. The position follows applicable regulations and organizational policies, maintains service and productivity standards, and keeps the daily Epic work queue and personal Employee Scorecard Dashboard up to date. The specialist participates in staff meetings, process improvement, and special projects; mentors peers; adapts to change; and performs other assigned duties. The work is at Texas Health Alliance in Fort Worth, with a full-time schedule of Friday through Sunday, 6:30 a.m. to 7:00 p.m., and on-call Monday from 6:30 a.m. to 7:00 p.m.

Requirements

High school diploma or equivalent.
One year of relevant customer service experience.
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, including professional 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 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 manner and escalate concerns appropriately.
CPI (Crisis Prevention Intervention) Training maintained annually; required within 90 days.

Nice To Haves

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

Responsibilities

Welcome patients and families upon arrival and help them feel at ease.
Gather complete and accurate 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.
Explain applicable 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 MSPQ, 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 set 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 inform patients and families about out-of-network status and potential financial implications.