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