Admissions Specialist I - PRN

Texas Health Resources•Bedford, TX

2h•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 complete and accurate demographic information for the electronic health record, verifies network coverage and healthcare benefits, and obtains or validates pre-certification for applicable tests and procedures. It also explains relevant legal, ethical, compliance, and financial information; obtains required regulatory consents; prepares estimates; and collects co-payments, self-pay deposits, and patient balances. The specialist ensures required payer and government elements are completed, including the MSPQ, Important Message from Medicare (IMM), and medical-necessity checks such as ABNs and Letters of Non-Coverage. The role maintains awareness of contracted insurance plans and communicates out-of-network status and potential financial implications to patients and families. It follows applicable regulations, policies, procedures, service and productivity guidelines, and maintains the daily Epic work queue and personal Employee Scorecard Dashboard. This PRN, as-needed position works rotating shifts at Texas Health HEB in Bedford, Texas, in a fast-paced, multi-department hospital environment. The specialist collaborates with and mentors peers, adapts to change, participates in staff meetings and process-improvement work, and completes special projects and other assigned duties.

Requirements

High school diploma or equivalent.
One year of relevant customer service experience.
Ability to promptly assess requests using electronic and paper resources and correctly respond to patient inquiries.
Excellent data-entry, numeric, typing, and computer-navigation skills, with attention to detail.
Proficient computer skills, including medical terminology, Epic, Microsoft Office, and assorted software programs.
Ability to troubleshoot using critical-thinking skills and maintain a pleasant, professional presence.
Exceptional listening, interpersonal, and communication skills, with professional, pleasant, and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, including situations involving crime, behavioral health, 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, changing priorities in an organized and effective manner and escalate concerns appropriately.
CPI (Crisis Prevention Intervention) Training must be 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 their families and help them feel at ease when they arrive.
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.
Educate patients and families about applicable legal, ethical, and compliance documents, and ensure required consents are signed by the appropriate parties.
Explain patients’ financial obligations and prepare estimates; collect 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 ABNs and Letters 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.
Maintain awareness and accuracy of contracted insurance plans; inform patients and families about out-of-network status and potential financial implications.
Maintain the daily Epic work queue and personal Employee Scorecard Dashboard.
Mentor peers, demonstrate flexibility, and adapt to change.
Participate in staff meetings, process improvement, and special projects, and complete other assigned duties.