Admissions Specialist-ER-Full-Time Days

Texas Health Resources; Town of Texas (WI); Sur place; USD 34 000 - 52 000; Plein temps

Avantages offerts par ce poste

401k

Employee Assistance Program (EAP)

Discount Programs

Career Ladder eligibility after 1 year

Tuition reimbursement

Résumé du poste

Texas Health Fort Worth seeks an Admissions Specialist in Patient Access Services for the ER. You will greet patients, verify demographics, review benefits, and assist with pre-certifications and cost estimates.

You’ll educate patients on required documents and help explain financial responsibilities. The role emphasizes accurate data entry, excellent customer service, and proficiency with Epic, Microsoft Office, and medical terminology.

Qualifications

• HS Diploma or Equivalent Required.
• 1 Year Customer Service Experience Required.
• 2-3 years of professional office/healthcare experience preferred.
• CHAA certification preferred.

Responsabilités

• Welcome patients and families, set a calm tone for the visit.
• Gather complete demographics to ensure EHR integrity.
• Identify network coverage and obtain/validate benefits and pre-certifications.
• Educate patients on legal, ethical, and compliance documents; obtain consents.
• Explain financial obligations and prepare estimates for co-payments and balances.
• Ensure correct payor elements are completed and reduce denials through timely notifications.
• Maintain Epic queue and scorecard dashboard; support leadership guidelines.
• Communicate insurance plans and potential out-of-network implications.

Formation

HS Diploma or Equivalent

Outils

Epic

Microsoft Office

Description du poste

Admissions Specialist – Patient Access Services – ER Bring your passion to Texas Health so we are Better + Together

Work location: Texas Health Fort Worth - 1301 Pennsylvania Ave, Fort Worth, TX 76104

Work hours: Monday, Tuesday, Saturday 11:00 AM-11:30 PM

Department Highlights

• The Patient Access Representative interacts in a professional, respectful manner with internal and external customers, provides excellent customer service to patients and visitors.
• Team-oriented work environment with expanded resources from other Patient Access areas.
• Cross-training opportunities within different areas of Patient Access

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.

What You Need

Education

• H.S. Diploma or Equivalent Required

Experience

• 1 Year Customer Service Experience Required
• 2-3 years of professional office/healthcare experience preferred
• CHAA certification preferred

Skills and Abilities

• 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
• Requires good written, oral, and telephone communication skills.
• Requires knowledge of general office equipment, PC’s and associated software packages.
• Ability to type 35 WPM corrected for errors preferred.
• General knowledge of medical terminology preferred.

What You Will Do

• 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.

Additional perks of being a Texas Health Admissions Specialists

• Benefits include 401k, Employee Assistance Program (EAP), Discount Programs, as well as other benefits.
• Delivery of high-quality patient care
• A supportive team environment with outstanding opportunities for growth, as well Career Ladder eligibility after 1 year.
• Quarterly Incentive eligibility based on Patient Satisfaction/Experience scores
• Tuition reimbursement

Texas Health Fort Worth is an 851-bed, Magnet-designated, full-service hospital that has served the Fort Worth community since 1930. We offer advanced care in cardiovascular services, high-risk obstetrics, gynecology, neurosciences, sports medicine, and emergency medicine. Our hospital also features certified programs in Advanced Hip and Knee Replacement, Brain Tumor Treatment, Advanced Spine Care, and Advanced Palliative Care. We are also home to a kidney transplant program that underscores our high-acuity capabilities, and we support Graduate Medical Education (GME) to help train the next generation of physicians. Texas Health Fort Worth is Joint Commission-certified as a Comprehensive Cardiac Center, a Comprehensive Stroke Center, and a Level I Trauma Center. We are also a designated Magnet hospital and recognized as the Best Place to Have a Baby in Tarrant County. Texas Health Fort Worth continues to be a top choice in North Texas for emergency services, women’s health, cardiac care, and more.