Pre-Registration Representative Senior

Hennepin Healthcare•Minneapolis, MN

8d•Remote

About The 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.

Requirements

2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc.
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

Nice To Haves

Bilingual strongly preferred, required in some positions
An approved equivalent combination of education and experience
Experience working in EPIC, preferred

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