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Texas Health Resources Admissions Specialist I in Plano, Texas

Admissions Specialist I (Day Shift)

Texas Health Plano

Fast-paced, high volume Admitting Department is looking for top skilled Admissions Specialists. Is that you?

Work location: Texas Health Plano, 6200 West Parker Road TX 75093-7914

Work hours: Full Time – Day Shift; 40 hours/a week. Monday - Friday 6:00 AM- 2:30 PM

  • Must be available to attend 2-3 weeks of training period initially, Monday to Friday, 8:00am – 5:00pm.

Admitting Department highlights:

  • Outpatient Registration Front Desk

  • Focused on creating a positive patient experience

Here’s What You Need

  • High School Diploma or equivalent Required.

  • 1 year of related experience Required.

  • Admissions or Insurance authorization experience helpful

  • CHAA - Certified Healthcare Access Associate Upon Hire Preferred

  • CPI - Crisis Prevention Intervention Training 90 Days Required

What You Will Do

  • 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 carriers.

  • Assists patients in understanding financial obligations; collects co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable. 15%

  • 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.

  • Completes other duties as assigned.

  • This position exemplifies exceptional customer service skills, personal warmth and patient engagement. Maintains professionalism, is discrete and offers solutions in anticipation of each patients needs. Greets every person verbally, with eye contact, and body language that is welcoming and friendly. Gives total attention to patient and listens to what the patient is saying and is conscious of non-verbal clues to the patients condition and status.

  • Seeks to personally provide resolution to the issue or need, and personally hands off to a suitable level staff member. Appropriately judges communication with the patient base on the situation and patient needs. Communicates appropriately with all stakeholders.

  • Obtains and verifies patient demographic information. collection complete financial information to include payor name, identification number, group, subscriber, pre-certification and complete mailing address information for claim submission. Positively identifies all patients prior to registration or revision.

  • Explains consent information, obtain consent signature and witnesses with no omissions. Distributes literature to patient to include education and regulatory information related to advanced, patient rights, practice and other according to current procedure guidelines and requirements.

  • Maintains certifications as required according to position assigned, including State of Texas Birth Registrar. Recognizes and communicates ethical and legal concerns through established channels of communication.

  • Minimizes THR's financial risk by identifying known patient out of pocket expenses at the point of service. Determines financial obligations based on the current policy, including collection of insurance or patient co-payment, self pay deposits and any patient existing balance.

  • Maintains and applies knowledge of the current financial policy and deploys practices used within the department, as well as, Central Business Operations to resolve patient accounts. Collects, secures and scans documentation to obtain insurance referral authorizations and pre-certification for ancillary services, diagnostic testing and imaging.

  • Every employee is important and vital to the mission of Texas Health mission, therefore timely and regular attendance of each employee is critical. This includes reporting to work on time, prepared, as scheduled and remaining at work for the entire scheduled shift for patient service needs and work production workflow. This expectation is also in place for those occasions of inclement weather.

  • Each team member is expected to be a reliable and dependable, acting with integrity, supporting all Promise Behaviors and principals.

  • Actively participates in hospital initiatives or committees as appropriate. Attends 80% of department staff meetings and town halls. Adheres to system, site and department policies. Completes mandatory training & Employee health requirements before or by the established date.

  • Maintains certifications as required according to position assigned, including State of Texas Birth Registrar. Recognizes and communicates ethical and legal concerns through established channels of communication.

Additional perks of being a Texas Health Admissions Specialist

  • Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, student Loan forgiveness as well as several other benefits.

  • A supportive, team environment with outstanding opportunities for growth.

  • Explore our Texas Health careers site for info like Benefits , Job Listings by Category , recent Awards we’ve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .

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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.

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