Admissions Specialist-Full-Time Day's

Texas Health Resources • Fort Worth, TX

3d • Onsite

About The Position

The Patient Access Representative interacts in a professional, respectful manner with internal and external customers, provides excellent customer service to patients and visitors. This role is in a team-oriented work environment with expanded resources from other Patient Access areas, offering cross-training opportunities within different areas of Patient Access in a fast-paced environment.

Requirements

• H.S. Diploma or Equivalent Required
• 1 Year Customer Service Experience Required
• Excellent data entry, numeric, typing and computer navigational skills, with attention to details.
• Proficient computer skills, medical terminology, Epic, Microsoft Office and assorted software programs.
• Exhibits a pleasant, professional, polished presence exhibiting the ability to troubleshoot utilizing critical thinking skills.
• Requires exceptional listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
• Ability to maintain a professional demeanor in a highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life or death situations.
• Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during life changing events, while demonstrating exceptional customer service skills.
• Demonstrates ability to manage multiple, changing priorities in an effective and organized manner and appropriately escalating concerns to leadership.
• Requires good written, oral, and telephone communication skills.
• Requires knowledge of general office equipment, PC’s and associated software packages.

Nice To Haves

• 2-3 years of professional office/healthcare experience preferred
• CHAA certification preferred
• Ability to type 35 WPM corrected for errors preferred.
• General knowledge of medical terminology preferred.

Responsibilities

• Welcome patients and their families when they arrive, putting them at ease and setting the tone for the rest of the visit.
• Accurately gather complete demographic information to ensure electronic health record integrity consistent with high reliability organization principles.
• Identify correct network coverage and obtain and/or validate healthcare benefits and/or pre-certification for applicable tests and/or procedures to maximize reimbursement for services rendered.
• Educate patients and/or families about applicable legal, ethical, and compliance documents; ensure regulatory consents are signed by the appropriate parties.
• Engage with patients in understanding their financial obligations based on the financial policy and accurately prepare estimates to collect co-payments, self-pay deposits, and patient balances.
• Ensure all payor and government required elements are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of Non-Coverage).
• Stay up to date and comply with all applicable regulations with the operating systems, entity and system policies and procedures.
• Maintain customer service and/or productivity guidelines set forth by applicable leadership.
• Mentor peers, exhibit flexibility and adapt easily to change.
• Participate in staff meetings, process improvement, special projects and complete other duties as assigned.
• Maintain daily Epic work queue and personal Employee Scorecard Dashboard.
• Maintain awareness and accuracy of THR contracted insurance plans; as well as the ability to communicate with patients/and families alerting patients of Out of Network and advise of potential financial implications, such as non-coverage.
• Accurately gather complete financial and demographic information to ensure medical records/billing process flows efficiently.
• Obtain and/or update verification of benefits and/or pre-certification for applicable tests and/or procedures.
• Prepare, present, and thoroughly explain applicable legal, ethical, and compliance documents; ensure proper consents are signed by the appropriate parties. Maintain documentation of the same.
• Maximize reimbursement for services rendered by appropriately identifying insurance carrier, benefits, etc. Prevent denials by ensuring timely notification of admission to insurance carrier.
• Assist patients in understanding financial obligations; collect co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable.
• Stay abreast of and comply with applicable regulations, entity and/or system policies and procedures. Maintain customer service and/or productivity guidelines set forth by applicable leadership.

Benefits

• 401k
• Employee Assistance Program (EAP)
• Discount Programs
• Delivery of high-quality patient care
• A supportive team environment with outstanding opportunities for growth, as well as Career Ladder eligibility after 1 year.
• Quarterly Incentive eligibility based on Patient Satisfaction/Experience scores
• Tuition reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED