The Admissions Specialist is responsible for accurately gathering complete financial and demographic information to ensure the medical records and billing process flows efficiently. This role involves obtaining and/or updating benefit verification and pre-certification for applicable tests and procedures. The specialist prepares, presents, and explains legal, ethical, and compliance documents, ensuring proper consents are signed. They also work to maximize reimbursement by identifying insurance carriers and benefits, preventing denials by ensuring timely notification to insurance carriers. Additionally, the Admissions Specialist assists patients in understanding their financial obligations and collects co-payments, deposits, and balances to reduce Accounts Receivable. The role requires staying updated on applicable regulations, policies, and procedures, and maintaining customer service and productivity guidelines.
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Career Level
Entry Level
Education Level
High school or GED