Admissions Specialist-ER-Full-Time Nights

Texas Health Resources•Fort Worth, TX

1d•Onsite

About The Position

This role will assist individuals in our community with accessing their healthcare needs. Providing an excellent patient healthcare experience, this candidate will obtain and verify demographics, review insurance benefits, prepare cost estimates, collect coins/copays, complete MSPQ as needed and accomplish patient education, regulatory requirements and all duties set forth in Patient Access Services. In this fast paced and challenging position, you will be proficient in all assigned Patient Access areas and cross trained in multiple workflows.

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

As a compassionate member of the care team will welcome patients and their families when they arrive, putting them at ease and setting the tone for the rest of the visit.
During the patient interaction, accurately gathers complete demographic information to ensure electronic health record integrity consistent with high reliability organization principles.
To ensure a seamless visit, identifies correct network coverage and obtains and/or validates healthcare benefits and/or pre-certification for applicable tests and/or procedures. These efforts maximize reimbursement for services rendered
Educates patients and/or families about applicable legal, ethical, and compliance documents; ensures regulatory consents are signed by the appropriate parties.
Engages with patients in understanding their financial obligations based on the financial policy and accurately prepares estimates to collect co-payments, self-pay deposits, and patient balances.
Ensures 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)
As a highly reliable organization stays up to date and complies with all applicable regulations with the operating systems, entity and system policies and procedures
Maintains customer service and/or productivity guidelines set forth by applicable leadership.
Engaged and willing partner who mentors peers, exhibits flexibility and adapts easily to change.
Participates in staff meetings, process improvement, special projects and completes other duties as assigned.
Maintains daily Epic work queue and personal Employee Scorecard Dashboard
Team member is responsible for maintaining awareness and accuracy of THR contracted insurance plans; as well 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 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 carrier.
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.