Admissions Specialist-PRN

Texas Health Resources • Fort Worth, TX

4d • Onsite

About The Position

The Admissions Specialist works in Patient Access Services in the Emergency Room at Texas Health Fort Worth. This PRN role helps community members access healthcare and provides a positive experience for patients and visitors. The specialist welcomes patients and families, gathers and verifies demographic and financial information, reviews insurance benefits and network coverage, obtains pre-certifications when applicable, prepares cost estimates, and collects co-payments, self-pay deposits, and patient balances.

The role also explains applicable legal, ethical, and compliance documents; obtains required consents; completes payor and government requirements such as the MSPQ, Important Message from Medicare, and medical-necessity checks; and maintains accurate documentation. The specialist works across assigned Patient Access areas and may be cross-trained in multiple workflows. The position requires professional, empathetic service in a fast-paced and emotionally challenging emergency-care environment, as well as compliance with applicable regulations, policies, service standards, and productivity guidelines.

Requirements

• High school diploma or equivalent.
• At least 1 year of customer service experience.
• Excellent data-entry, numeric, typing, and computer-navigation skills, with attention to detail.
• Proficiency with computers, medical terminology, Epic, Microsoft Office, and assorted software programs.
• Strong listening, interpersonal, written, oral, and telephone communication skills, including professional telephone etiquette.
• Ability to troubleshoot and use critical-thinking skills.
• Ability to maintain a professional demeanor in a highly stressful and emotional environment, including situations involving crime, behavioral health, suffering, and life-or-death circumstances.
• Ability to communicate empathetically and effectively with patients and family members during life-changing events.
• Ability to manage multiple changing priorities in an organized and effective manner and escalate concerns appropriately.
• Knowledge of general office equipment, PCs, and associated software packages.

Nice To Haves

• Two to three years of professional office or healthcare experience.
• Certified Healthcare Access Associate (CHAA) certification.
• Ability to type 35 words per minute, corrected for errors.
• General knowledge of medical terminology.

Responsibilities

• Welcome patients and families, help put them at ease, and provide professional customer service.
• Accurately collect and verify complete demographic and financial information for the electronic health record, medical records, and billing processes.
• Identify network coverage and obtain or verify insurance benefits and pre-certification for applicable tests and procedures.
• Prepare, present, and explain cost estimates and applicable legal, ethical, and compliance documents; ensure required consents are signed and documented.
• Explain patients’ financial obligations and collect co-payments, self-pay deposits, and patient balances.
• Complete required payor and government elements, including the MSPQ, Important Message from Medicare, and medical-necessity checks such as ABNs and Letters of Non-Coverage.
• Notify insurance carriers of admissions in a timely manner and help prevent denials by verifying insurance and benefits.
• Communicate out-of-network coverage and potential financial implications to patients and families.
• Maintain awareness of contracted insurance plans and comply with applicable regulations, system and entity policies, and procedures.
• Maintain customer-service and productivity standards, the daily Epic work queue, and the personal Employee Scorecard Dashboard.
• Work across assigned Patient Access areas and workflows; mentor peers and adapt to changing needs.
• Participate in staff meetings, process improvement, and special projects, and complete other duties as assigned.

Benefits

• 401(k)
• Employee Assistance Program (EAP)
• Discount programs
• Tuition reimbursement
• Quarterly incentive eligibility based on patient satisfaction and experience scores
• Career Ladder eligibility after one year
• Opportunities for growth

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED