About The Position

The Admissions Specialist - Patient Access Services - ER position at Texas Health Harris involves interacting professionally and respectfully with internal and external customers, providing excellent customer service to patients and visitors. This role is part of a team-oriented work environment with expanded resources from other Patient Access areas, offering cross-training opportunities within different areas of Patient Access. The primary duties include accurately gathering complete financial and demographic information to ensure efficient medical records and billing processes, obtaining and/or updating verification of benefits and pre-certification for applicable tests and procedures, preparing and explaining legal, ethical, and compliance documents, and ensuring proper consents are signed. The role also focuses on maximizing reimbursement by identifying insurance carriers and benefits, preventing denials by ensuring timely notification to insurance carriers, assisting patients in understanding financial obligations, collecting co-payments, self-pay deposits, and patient balances, and staying abreast of and complying with applicable regulations, policies, and procedures. The specialist is expected to maintain customer service and/or productivity guidelines.

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

  • Gain a sense of accomplishment by contributing in a teamwork environment.
  • Receive excellent mentorship, comprehensive training and dedicated leadership resources.
  • Enjoy opportunities for growth.
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