Admissions Specialist I

Texas Health Resources; Bedford (TX); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

401(k) with match

Paid time off

Competitive health insurance choices

Healthcare and dependent care spending

Job summary

Texas Health Resources is seeking an Admissions Specialist I at Texas Health HEB in Bedford, TX. This full-time role supports patient intake, benefits verification, and pre-certification processes to ensure accurate billing and smooth patient flow.

The position requires a high school diploma, 1 year of customer service, and knowledge of Epic and Microsoft Office. Candidates with healthcare experience and CHAA/CPI training are preferred.

Qualifications

• High School Diploma or Equivalent is required.
• 1 Year Relevant Customer Service experience required.
• 2 Years Professional office/healthcare experience preferred.
• CHAA - Certified Healthcare Access Associate Upon Hire preferred.
• CPI - Crisis Prevention Intervention Training maintained annually 90 days required.

Responsibilities

• Welcome patients and families to set a positive tone for the visit.
• Gather complete demographic information to ensure electronic health record integrity.
• Identify network coverage and obtain/validate healthcare benefits and pre-certification for tests/procedures.
• Educate patients/families about applicable legal, ethical, and compliance documents; ensure consents are signed.
• Explain financial obligations and prepare estimates for co-pays, self-pay deposits, and balances.
• Ensure MSPQ, IMM, ABN and Non-Coverage letters are completed correctly.
• Stay compliant with systems and policies; participate in staff meetings and process improvements.
• Maintain Epic work queue and daily scorecard dashboard.
• Communicate about contracted insurance plans and potential non-coverage implications.

Skills

Customer service

Data entry

Typing

Computer navigation

Medical terminology

Epic

Microsoft Office

Professional telephone etiquette

Empathy in high-stress environments

Education

High School Diploma or Equivalent

Tools

Epic

Microsoft Office

Job description

Admissions Specialist I

Bring your passion to Texas Health So We Are Better + Together

Work Location: Texas Health HEB, 1600 Hospital Pkwy, Bedford, TX 76022

Work Hours: Full-Time; Friday, Saturday, and Sunday from 7:00am to 7:30pm

Department Highlights:

• Great working environment with plenty of learning opportunities.
• Opportunity to work in a fast pace multi department environment.
• Ability to interact and become familiar with all other hospital departments.
• Friendly family-orientated environment.

Qualifications

Here’s What You Need:

Education

High School Diploma or Equivalent is required.

Experience

1 Year Relevant Customer Service experience required.

2 Years Professional office/healthcare experience preferred.

Licenses and Certifications

CHAA - Certified Healthcare Access Associate Upon Hire preferred.

CPI - Crisis Prevention Intervention Training maintained annually 90 days required.

Skills

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.

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.

Additional Perks of Being a Texas Health Team Member:

Benefits include 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more.

At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, people-first, excellence-driven culture make THR a great place to work.

Texas Health HEB Highlights:

Texas Health HEB is a 322-bed, acute-care, full-service hospital serving our community since 1973. Our location in the DFW mid cities area provides convenient care to the residents of Hurst, Euless, Bedford, and the surrounding communities.

We specialize in women's services, perioperative services, heart and vascular care, acute care/med surg, intermediate care/step-down, oncology, behavioral health, and emergency medicine. Additional specialties include nuclear medicine, interventional radiology, respiratory therapy, and neuroscience care, including neurosurgery and stroke.

Texas Health HEB is ANCC Magnet Designated, Joint Commission-certified in Chest Pain (PHAC), a Primary Stroke Center, a Level III Trauma Center, Level II NICU and Level III for maternal care. We're a top choice in North Texas for emergency services, surgical services, women's health, cardiac care and much more.

As part of the Texas Health family and its 28,000+ employees, we're one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch, and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here!

Explore our Texas Health careers site (https://jobs.texashealth.org/) for info like Benefits (https://jobs.texashealth.org/benefits) , Job Listings by Category (https://jobs.texashealth.org/professions) , recent Awards (https://jobs.texashealth.org/awards) we've won and more.

Do you still have questions or concerns? Feel free to email your questions to [e-mail] .

Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.