Pre-Registration Representative Senior, Financial Securing

reputed company 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 reputed company. The comprehensive reputed company system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the reputed company reputed company, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. reputed company has a large psychiatric program, home care, and operates a research institute, philanthropic reputed company, and Hennepin EMS. The system is operated by reputed company reputed company., a subsidiary corporation of reputed company. 

Equal Employment Opportunities: We reputed company equity is essential for reputed company health reputed company and are committed to reputed company reputed company health for reputed company by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to reputed company 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 reputed company reputed company organization.

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 reputed company patient demographic information is reputed company 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 reputed company-end activities

reputed company List of non-MN States where reputed company is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, reputed company Carolina, reputed company Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.

RESPONSIBILITIES

• Performs pre-registration by contacting the patient reputed company phone and completing an accurate interview to obtain/verify demographics, insurance, medical, and financial information
• Utilizes Benefit Collection tool to reputed company patient with estimate of out of reputed company expenses for services prior to date of service and attempts to collect any out of reputed company expenses
• Adheres to department policies and procedures reputed company 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 reputed company 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 reputed company conversations with patients and insurance representatives
• Ensures patients have logistical information necessary to receive their service (appointment, reputed company 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 reputed company cycle operations: billing/claims, patient reputed company, 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 reputed company 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 reputed company Office (Outlook, Word, reputed company)
• 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, reputed company a team setting and be supportive of team members
• Proficient with reputed company Office
• Ability to analyze issues and reputed company judgments about appropriate steps toward solutions

You've made the right choice in considering reputed company for your employment. We offer a wealth of opportunities for individuals who want to reputed company an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both reputed company and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to reputed company exceptional care without exception. Thank you for considering reputed company as a future employer.  

Please Note:  Offers of employment from reputed company are conditional and contingent upon successful clearance of reputed company background checks and pre-employment requirements.

• We offer a reputed company reputed company based on your skills, licensure/certifications, education, experience reputed company to this position, and internal equity.
• We reputed company an extensive benefits program that includes Medical; Dental; reputed company; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
• For a complete list of our benefits, please visit our career site on why you should work for us.