RCM Representative Senior, Third-Party Claims-HB&PB

Hennepin Healthcare • Minneapolis, MN

75d • $22 - $28

About The Position

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County. We are currently seeking a RCM Representative Senior to join our Third-Party Claims-HB&PB team. This full-time role will primarily work remotely (Days, M- F). Working under general supervision, provides revenue cycle services to incoming and existing patients and their families either in person or by telephone. Is responsible for gathering patient information needed to provide services such as following up on complex claim issues, financial clearance, customer service, or admission.

Requirements

• 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
• An approved equivalent combination of education and experience

Nice To Haves

• 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
• CRCR (Credentialed Revenue Cycle Representative) preferred

Responsibilities

• Gathers information from patients, clients/family members, HCMC clinical areas, government agencies, employers, third party payors, and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility, and/or to identify sources of payment for services
• Requests, inputs, verifies, and modifies patient's demographic, primary care provider, and payor information
• Utilizes tools, including computer programs, when indicated
• Makes appropriate referrals (i.e. Patient Financial Care Specialists, Collections Specialists) as appropriate
• Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
• Answers questions (by phone and in-person) and provides quotes for services (including discounts), identifies financial resources, etc. in accordance with HCMC policies and procedures
• Utilizes various databases and specialized computer software for financial care activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
• Establishes plans (patient liabilities, payment, etc.) and conducts follow up activities related to those plans
• Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software
• Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
• Works with Claims and Collections (both internally and with collection agencies) in order to assist patients and their families with billing and payment activities in order to increase cash flow
• Other duties as assigned

Benefits

• Medical
• Dental
• Vision
• Life Insurance
• Short and Long-term Disability Insurance
• Retirement Funds
• Paid Time Off
• Tuition reimbursement
• License and Certification reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: No Education Listed