Insurance and Admission Specialist

Job Summary

The Insurance & Admission Specialist at North Mississippi Health Services is responsible for facilitating patient admission and discharge. This role operates under the guidance of the Office Coordinator and requires an experienced individual with strong organizational and communication skills to serve as a welcoming information source for patients, collect insurance details, paperwork, and payments, coordinate financial counseling and patient scheduling, and maintain accurate records to support efficient processing and a high‑quality patient experience.

• Greets patients in a positive, helpful, and courteous manner.
• Explains paperwork such as patient rights, financial responsibility, charity application, medical releases, etc.
• Answers and disburses intra‑ and inter‑departmental phone calls and messages.
• Promotes good intra‑ and inter‑departmental and public relations.
• Responds to inquiries from patients, family members, and providers regarding health benefits.
• Assists patients in the Indigent Drug Programs by selecting programs, completing enrollment forms, and receiving shipments.

• Obtains and/or verifies insurance eligibility and benefits.
• Gathers required signatures on patient paperwork.
• Interviews patient or patient representative in person or over the telephone to obtain demographics and insurance information.

• Remains responsible for discharging patients.
• Performs cashiering duties and receives payments on accounts.
• Schedules appointments and procedures.
• Provides financial counseling to patients and/or patient representatives to manage balances owed.
• Assists patients and/or patient representatives in completing the Charity Application for financial assistance.
• Takes responsibility for accurate documentation (coding) of diagnosis and therapy administered.
• Provides financial folders of each patient to the Business Office.

• Processes, maintains, and scans records in a timely, accurate, and confidential manner.
• Electronically updates patient records.
• Submits patient information/documentation timely and accurately to the appropriate department.
• Complies with all HIPPA regulatory and insurance policies in gathering and maintaining patient records; reports possible non‑compliant cases to Supervisor, Department Manager, or Compliance Officer.
• Records patient insurance and demographic information.
• Expedites billing and payment processes by receiving, interpreting, and submitting all necessary information and documentation in an accurate and timely manner.

• High School Diploma or GED Equivalent (Required)
• Associate’s Degree in Business or Related Field (Preferred)

• 1–3 years of health‑care insurance, benefits, or collection experience (Required)

• Excellent verbal and written communication skills (Required)
• Working knowledge of computer skills (Required)
• Knowledge of pharmacy and infusion therapy (drugs, supplies, pumps) (Preferred)
• Knowledge of Diagnosis‑Related Group (DRG) and coding (Preferred)
• Ability to resolve member, provider, and client complaints regarding reimbursement issues (Required)
• Ability to calculate and collect patient co‑pays and/or co‑insurance monies (Required)
• Ability to efficiently and accurately complete admission/discharge process (Required)
• Ensure compliance with departmental, regulatory, and HIPPA policies and procedures (Required)
• Ability to identify problems/errors with drug versus therapy admissions and propose solutions (Required)
• Strong organizational and interpersonal skills (Required)
• Provide customer service to infants, pediatrics, adolescents, adults, and geriatrics (Required)
• Detail oriented (Required)
• Work well within a team‑oriented structure (Required)
• Serve as a patient advocate (Required)
• Gather and share information with knowledge, tact, and diplomacy (Required)
• Maintain patient confidentiality and adhere to HIPPA regulations (Required)
• Identify and report problems outside established parameters to the supervisor, with recommendations for solutions (Required)
• Make decisions that are consistent with the hospital’s overall Mission/Vision Statements (Required)
• Comply with various legal and regulatory guidelines (Required)
• Make decisions regarding ordering of supplies, notifying nurses of exceptional cases, and customer service functions (Required)