Senior Remote Pre-Registration Specialist

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

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.