Minneapolis, MN, 55405, USA
5 days ago
Pre-Registration Rep Sr, Financial Securing
*SUMMARY:* We are currently seeking a*Pre-Registration Representative Senior*to join our Financial Securing team. This full-time role will primarily work remote (SHIFT: Days). *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 information * Utilizes 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 expenses * Adheres to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, and available payment options * Identifies patients who may need Advance Beneficiary Notices for Non-covered services (ABN) * Refers patients to the Price Estimate Team, as necessary * Connects uninsured/underinsured patients with Financial Counseling or Medicaid eligibility vendor as appropriate * Determines whether a service requires a prior authorization. If so, documents appropriately and sends to prior authorization team * Creates HARs and sets up appropriate Guarantor * Contacts the patient to complete Medicare Secondary Payer Questionnaire for Medicare beneficiaries * Thoroughly documents all conversations with patients and insurance representatives * Ensures 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 necessary * Other duties as assigned *QUALIFICATIONS:* /*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 positions -OR- * An approved equivalent combination of education and experience /*Preferred Qualifications:*/ * Experience working in EPIC, preferred /*Knowledge/ 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 guidelines * Demonstrated expertise in logical thinking, data preparation, and analysis * Comprehensive knowledge of Microsoft Office (Outlook, Word, Excel) * Strong communication skills, both verbal and written * Ability to communicate effectively with collaborating departments, providers and insurance representatives * Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria * Excellent verbal and written communication and interpersonal skills * Ability to work independently with minimal supervision, within a team setting and be supportive of team members * Proficient with Microsoft Office * Ability to analyze issues and make judgments about appropriate steps toward solutions **Title:** *Pre-Registration Rep Sr, Financial Securing* **Location:** *MN-Minneapolis-Downtown Campus* **Requisition ID:** *241262*
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