SUMMARY : We are currently seeking a Pre-Registration Representative Senior to join our Financial Securing team. This full-time role will primarily work remotely (Days, M - F).
- Purpose of this position :
- The pre-registration specialist confirms all patient demographic information is current and complete, verifies insurance information, and confirms insurance benefit eligibility. The pre-registration process contributes to reduced patient wait times, improved patient satisfaction, and reduced denials stemming from front-end activities
Current List of non-MN States where Hennepin Healthcare is an Eligible Employer : / Alabama, Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Nevada, North Carolina, North Dakota, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin. /
RESPONSIBILITIES :
Performs pre-registration by contacting the patient via phone and completing an accurate interview to obtain / verify demographics, insurance, medical, and financial informationUtilizes Benefit Collection tool to provide patient with estimate of out of pocket expenses for services prior to date of service and attempts to collect any out of pocket expensesAdheres to department policies and procedures related to verification of eligibility / benefits, pre-authorization requirements, and available payment optionsIdentifies patients who may need Advance Beneficiary Notices for Non-covered services (ABN)Refers patients to the Price Estimate Team, as necessaryConnects uninsured / underinsured patients with Financial Counseling or Medicaid eligibility vendor as appropriateDetermines whether a service requires a prior authorization. If so, documents appropriately and sends to prior authorization teamCreates HARs and sets up appropriate GuarantorContacts the patient to complete Medicare Secondary Payer Questionnaire for Medicare beneficiariesThoroughly documents all conversations with patients and insurance representativesEnsures patients have logistical information necessary to receive their service (appointment, place and time, directions to facility)Maintains productivity and quality standards and assists other team members where necessaryOther duties as assignedQUALIFICATIONS : / Minimum Qualifications : /
2 years clerical experience in health care revenue cycle operations : billing / claims, patient accounting, collections, admissions, registration, etc.Bilingual strongly preferred, required in some positionsAn approved equivalent combination of education and experiencePreferred Qualifications : /
Experience working in EPIC, preferredKnowledge / Skills / Abilities : /
Requires knowledge of government and commercial payer (Insurance) benefit and eligibility verification and ability to become aware of and navigate medical policy per payer guidelinesDemonstrated expertise in logical thinking, data preparation, and analysisComprehensive knowledge of Microsoft Office (Outlook, Word, Excel)Strong communication skills, both verbal and writtenAbility to communicate effectively with collaborating departments, providers and insurance representativesDemonstrated organizational skills and the ability to prioritize and manage tasks based on established criteriaExcellent verbal and written communication and interpersonal skillsAbility to work independently with minimal supervision, within a team setting and be supportive of team membersProficient with Microsoft OfficeAbility to analyze issues and make judgments about appropriate steps toward solutionsTitle : Pre-Registration Representative Senior, Financial Securing
Location : MN-Minneapolis-Downtown Campus
Requisition ID : 250216
