About The Position

The Admissions Specialist - Patient Access Services - ER- PRN role at Texas Health Harris Methodist Hospital Southwest Fort Worth involves accurately gathering complete financial and demographic information to ensure the medical records/billing process flows efficiently. This role also involves obtaining and/or updating verification of benefits and/or pre-certification for applicable tests and/or procedures. The specialist will prepare, present, and thoroughly explain applicable legal, ethical, and compliance documents, ensuring proper consents are signed. A key responsibility is maximizing reimbursement by appropriately identifying insurance carriers and benefits, and preventing denials by ensuring timely notification of admission to insurance carriers. The role also includes assisting patients in understanding their financial obligations and collecting payments to reduce Accounts Receivable, while staying abreast of and complying with applicable regulations and policies.

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.

Benefits

  • 401k
  • PTO
  • medical
  • dental
  • paid parental leave
  • flex spending
  • tuition reimbursement
  • student loan repayment programs
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