Admissions Specialist I
Bring your passion to Texas Health So We Are Better + Together
Work Location: Texas Health Denton, 3000 N Interstate 35, Denton, TX 76201
Work Hours: Full-Time; Saturday, Sunday, and Monday from 6:30pm to 7:00am

EDUCATION

• High School Diploma or Equivalent is required.

EXPERIENCE

• 1 Year Relevant Customer Service experience required.
• 2 Years Professional office/healthcare experience preferred.

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.

• 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.