Pre-Registration Representative Senior

Pre-Registration Representative Senior

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. Equal Employment Opportunities:
We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

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

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…