What are the responsibilities and job description for the Admissions Specialist I PAS position at Texas Health?
Admissions Specialist I PAS
We’re looking for a qualified Admissions Specialist to join our Texas Health family.
Position Highlights
· Work location: Texas Health Cleburne 201 Walls Drive Cleburne, TX 76031
· Work hours: Full Time, 36 hours; Nights; Wednesday, Thursday & Friday 6pm-6:30am
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. 10%
During the patient interaction, accurately gathers complete demographic information to ensure electronic health record integrity consistent with high reliability organization principles. 10%
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 10%
Educates patients and/or families about applicable legal, ethical, and compliance documents; ensures regulatory consents are signed by the appropriate parties. 10%
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. 10%
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) 10%
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 10%
Maintains customer service and/or productivity guidelines set forth by applicable leadership. 10%
Engaged and willing partner who mentors peers, exhibits flexibility and adapts easily to change. 5%
Participates in staff meetings, process improvement, special projects and completes other duties as assigned. 5%
Maintains daily Epic work queue and personal Employee Scorecard Dashboard 5%
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 5%
