Pre-Registration Representative Senior

Hennepin Healthcare; Minneapolis (MN); Remote; USD 42,000 - 56,000; Full time

Job summary

Hennepin Healthcare in Minnesota is seeking a Pre-registration Specialist to validate patient demographics, verify insurance, and confirm eligibility, enabling smoother visits and fewer denials. This remote-friendly role supports front-end revenue cycle activities.

You will interview patients by phone, explain estimated out-of-pocket costs, and route complex cases to Financial Counseling, with emphasis on accuracy, empathy, and compliant documentation.

Qualifications

• 2 years clerical experience in health care revenue cycle operations.
• Bilingual strongly preferred, required in some positions.
• OR an approved equivalent combination of education and experience.
• Proficiency with EPIC and Microsoft Office.
• Ability to document interactions clearly and accurately.
• Knowledge of payer verification and eligibility processes.

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 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

Skills

Clerical experience

Bilingual

Healthcare revenue cycle

Strong communication

Education

Equivalent combination of education and experience

Tools

EPIC

Microsoft Office

Job description

JOB DETAILS

• Department: Financial Securing
• FTE: 1.00 (80 hours per pay period)
• Workdays: Monday - Friday
• Shift(s): Days
• Shift Length: 8 hours
• Location: Remote*
• 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, Wisconsin.

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 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