Admissions Specialist - Admitting

Texas Health Resources•Plano, TX

3d•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 for ensuring electronic health record integrity by accurately gathering complete demographic information. The specialist will identify correct network coverage, validate healthcare benefits, and obtain pre-certification for procedures to maximize reimbursement. They will also educate patients and families on legal, ethical, and compliance documents, ensuring regulatory consents are signed. Additionally, the Admissions Specialist will explain financial obligations based on the financial policy, prepare estimates, and collect co-payments and patient balances. They are responsible for correctly completing payor and government required elements, including MSPQ, Important Message from Medicare (IMM), and medical necessity checking (ABN and Letter of Non-Coverage). The role requires maintaining customer service and productivity guidelines set by leadership.

Requirements

H.S. Diploma or equivalent required
1 Year of customer service required
CPI - Crisis Prevention Intervention Training required within 60 days of hire
Ability to promptly assess requests by using electronic and paper resource materials and correctly respond to patient inquiries.
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

Nice To Haves

2 years of professional office/ healthcare experience preferred
CHAA - Certified Healthcare Access Associate preferred upon hire

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 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).
Maintain customer service and/or productivity guidelines set forth by applicable leadership.