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

Hennepin Healthcare•Minneapolis, MN

1d•Remote

About The Position

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). Purpose of this position: 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. Works will be assigned via a work queue in the electronic health record system Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsi

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
Knowledge of patient billing claims process
Ability to communicate with patients and families under sometimes stressful circumstances
Strong telephone communication skills
Experience with electronic health record or similar software program
Knowledge of payor programs
Knowledge of applicable federal and state regulations

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