Admissions Specialist - Full Time

Texas Health Resources•Kaufman, TX

1d•Onsite

About The Position

As a compassionate member of the care team, the Admissions Specialist will welcome patients and their families upon arrival, putting them at ease and setting a positive tone for their visit. This role is crucial in ensuring a seamless patient experience by accurately gathering demographic information, verifying insurance coverage, and obtaining necessary pre-certifications. The Admissions Specialist also plays a key role in educating patients about legal and compliance documents, managing financial obligations, and ensuring all required payor and government documentation is completed accurately. This position operates within a highly reliable organization, requiring adherence to all applicable regulations and policies.

Requirements

H.S. Diploma or Equivalent is required
1 Year Relevant Customer Service experience is required
CPI - Crisis Prevention Intervention Training 90 Days is required

Nice To Haves

2 Years Professional office/healthcare experience is preferred
CHAA - Certified Healthcare Access Associate Upon Hire is preferred

Responsibilities

Welcome patients and their families upon arrival, 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.
Identify correct network coverage and obtain/validate healthcare benefits and/or pre-certification for applicable tests and/or procedures to maximize reimbursement.
Educate patients and/or families about applicable legal, ethical, and compliance documents, and ensure regulatory consents are signed.
Engage with patients to understand their financial obligations based on the financial policy and prepare estimates to collect co-payments, self-pay deposits, and patient balances.
Ensure all payor and government required elements are completed correctly, including 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, operating systems, entity, and system policies and procedures.