Pre-Registration Rep Sr

Hennepin Healthcare•Minneapolis, MN

5d•Remote

About The Position

The Pre-Registration Rep Sr works in Financial Securing and confirms that patient demographic information is current and complete, verifies insurance information, and confirms insurance benefit eligibility. The pre-registration process helps reduce patient wait times, improve patient satisfaction, and reduce denials resulting from front-end activities. This is a remote position scheduled Monday through Friday on the day shift, with 8-hour shifts and 80 hours per pay period. The role requires contacting patients to collect and verify information, supporting understanding and collection of estimated out-of-pocket costs, coordinating authorization and financial support needs, and documenting interactions thoroughly. The position also maintains productivity and quality standards and assists other team members as needed.

Requirements

Two years of clerical experience in healthcare revenue cycle operations, such as billing or claims, patient accounting, collections, admissions, or registration; or an approved equivalent combination of education and experience.
Knowledge of government and commercial payer benefit and eligibility verification, and ability to learn and navigate medical policy according to payer guidelines.
Demonstrated expertise in logical thinking, data preparation, and analysis.
Comprehensive knowledge of Microsoft Office, including Outlook, Word, and Excel.
Strong verbal and written communication skills and the ability to communicate effectively with collaborating departments, providers, and insurance representatives.
Organizational skills and the ability to prioritize and manage tasks using established criteria.
Ability to work independently with minimal supervision, within a team setting, and support team members.
Ability to analyze issues and make judgments about appropriate steps toward solutions.

Nice To Haves

Bilingual skills are strongly preferred and required in some positions.
Experience working in EPIC is preferred.

Responsibilities

Perform pre-registration by contacting patients by phone and conducting an accurate interview to obtain or verify demographic, insurance, medical, and financial information.
Use the Benefit Collection tool to provide patients with estimates of out-of-pocket expenses before their service date and attempt to collect those expenses.
Follow department policies and procedures for verifying eligibility and benefits, pre-authorization requirements, and available payment options.
Identify patients who may need Advance Beneficiary Notices for non-covered services (ABN).
Refer patients to the Price Estimate Team as necessary.
Connect uninsured or underinsured patients with Financial Counseling or a Medicaid eligibility vendor as appropriate.
Determine whether a service requires prior authorization, document the requirement appropriately, and send it to the prior authorization team.
Create HARs and set up the appropriate Guarantor.
Contact Medicare beneficiaries to complete the Medicare Secondary Payer Questionnaire.
Thoroughly document conversations with patients and insurance representatives.
Ensure patients have the logistical information needed to receive their service, including appointment details, location, time, and directions.
Maintain productivity and quality standards and assist other team members where necessary.
Perform other duties as assigned.