Admissions Specialist-PRN

Texas Health•Fort Worth, TX

1d•Onsite

About The Position

The Patient Access Representative interacts in a professional, respectful manner with internal and external customers, and provides excellent customer service to patients and visitors. This role is part of a team-oriented work environment with expanded resources from other Patient Access areas, and offers cross-training opportunities within different areas of Patient Access. The Admissions Specialist accurately gathers complete financial and demographic information to ensure the medical records/billing process flows efficiently. They obtain and/or update verification of benefits and/or pre-certification for applicable tests and/or procedures. The role involves preparing, presenting, and thoroughly explaining applicable legal, ethical, and compliance documents, and ensuring proper consents are signed by the appropriate parties, maintaining documentation of the same. The Admissions Specialist maximizes reimbursement for services rendered by appropriately identifying insurance carrier, benefits, etc., and prevents denials by ensuring timely notification of admission to insurance carriers. They assist patients in understanding financial obligations, collect co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable. The role requires staying abreast of and complying with applicable regulations, entity and/or system policies and procedures, and maintaining customer service and/or productivity guidelines set forth by applicable leadership.

Requirements

H.S. Diploma or Equivalent required
1 Year Customer Service experience required
Requires good written, oral, and telephone communication skills.
Requires knowledge of general office equipment, PC’s and associated software packages.

Nice To Haves

CHAA - Certified Healthcare Access Associate Upon Hire preferred
Ability to type 35 WPM corrected for errors preferred.
General knowledge of medical terminology preferred.

Responsibilities

Accurately gathers complete financial and demographic information to ensure medical records/billing process flows efficiently.
Obtains and/or updates verification of benefits and/or pre-certification for applicable tests and/or procedures.
Prepares, presents, and thoroughly explains applicable legal, ethical, and compliance documents; ensures proper consents are signed by the appropriate parties. Maintains documentation of the same.
Maximizes reimbursement for services rendered by appropriately identifying insurance carrier, benefits, etc. Prevents denials by ensuring timely notification of admission to insurance carriers.
Assists patients in understanding financial obligations; collects co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable.
Stays abreast of and complies with applicable regulations, entity and/or system policies and procedures. Maintains customer service and/or productivity guidelines set forth by applicable leadership.