"Alerted.org

*_SUMMARY:_*

We are currently seeking a*Pre-Registration Representative Senior*to join our*Financial Securing*team. This full-time role will primarily work remote(Day, M- F).

*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, Iowa, Nevada, North Carolina, North Dakota, South Carolina, South Dakota, Tennessee, Texas, and 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

**Title:** *Pre-Registration Rep Sr, Financial Securing*

**Location:** *MN-Minneapolis-Downtown Campus*

**Requisition ID:** *251740*