The incumbent will assist in providing access to services provided at the hospital and/or Rehab clinics by scheduling and performing admission and dismissal processes. This position requires excellent customer service skills, both written and oral, which involves ability to communicate effectively over the phone. Knowledge of all tasks performed in the Rehab front office areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. This position is primarily responsible for the registration of patients by obtaining patient demographic and third party information with a high degree of accuracy. They are also responsible for verification of health plan coverage eligibility and collection of payment toward their plan, at the time of service. This position requires knowledge of HMOs, PPOs, Commercial Payers, HSAs, Cobra, Medicaid, STAR plans, CSHCN, CHIP and hospital financial assistance programs. The incumbent is responsible for maintaining knowledge of JCAHO, HIPPA, Patient Rights and Responsibilities, and departmental/System policies and procedures. This position provides administrative and operational support for department therapists and the clinic manager.
Education & Experience
The Patient Access Insurance Specialist must be detail oriented, personable, calm, flexible, honest, and capable of handling difficult situations with tact and diplomacy. Incumbent must poses skills to effectively communicate in a professional manner with various internal and external providers.
High School diploma or equivalent required.
Ability to type, spell, write or print legibly with general knowledge of personal computers required.
Strong interpersonal communication, documentation and customer service skills required.
1-2 years of Hospital admissions or physicians’ office experience required or 1-2 years professional work experience required.
Knowledge of health care insurance and managed care required.
Medical terminology preferred.
Licensure, Registration, and/or Certification
BLS Healthcare Provider certification recommended, not required.
Annual CPR certification recommended, not required.
Internal Number: 53228-45435
About Cook Children's Health Care System
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's ...life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.