Pre-Registration Representative Senior, Financial Securing
Minnesota Visiting Nurse Agency
*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 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 Representative Senior, Financial Securing*
**Location:** *MN-Minneapolis-Downtown Campus*
**Requisition ID:** *250216*
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