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Insurance and Estimates Specialist, Financial Securing

3 months ago

Minneapolis, Minnesota, United States Hennepin County Medical Center Full time

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.

SUMMARY
We are currently seeking an Insurance and Estimates Specialist to join our Financial Securing team. This full-time role will work remotely (days, with the potential of weekends in the future).

Purpose of this position: The Insurance and Estimates Specialist is responsible for ensuring that payers are prepared to reimburse Hennepin Healthcare for services in accordance with the payer-provider contract. This person contacts payers to notify of services and request service authorization and may collect financial and/or demographic information from patients and staff as needed. In addition, the Insurance and Estimates Specialist is responsible for creating and providing accurate and timely price estimates in accordance to federal and state law.

Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Nevada, North Carolina, North Dakota, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

RESPONSIBILITIES

  • Verifies patient's insurance and benefits information
  • Notifies payers of services needed for patients
  • Completes notification of admission and obtains initial authorizations from third-party payers in accordance with payer requirements
  • Contacts patients to gather demographics and insurance information as needed, and updates patient information within the EMR as necessary
  • Works with other departments to ensure timely submission of clinical information required by the payer to authorize services
  • Maintains accurate records of authorizations within the EMR
  • Refers accounts to financial counseling as needed if authorization is not obtained
  • Completes accounts in assigned work queues and completes authorization work flows timely
  • Plays an essential role in assisting with an accurate determination of a patient's insurance eligibility
  • Compiles and provides accurate price estimates to multi-disciplinary healthcare teams and potential patients
  • Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment
  • Performs other duties as requested

QUALIFICATIONS
Minimum Qualifications:

  • High school diploma or GED required
  • 2-years of related and relevant work experience

-OR-

  • An approved equivalent combination of education and experience

Preferred Qualifications:

  • Epic certification: Hospital registration - revenue cycle
  • Formal process improvement/Lean certification
  • Certification in EPIC Cadence, ADT/Prelude or Resolute preferred
  • Fluency in other languages

Knowledge/ Skills/ Abilities:

  • Excellent communication and customer services skills
  • Familiarity with medical terminology and healthcare insurance processes
  • Strong attention to detail
  • Ability to priority and multitask
  • Proficiency in the use of healthcare information systems, preferred
  • Ability to comply with HIPAA regulations as well as the organization's policies and procedures regarding patient privacy and confidentiality

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

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

Primary Location: MN-Minneapolis-Downtown Campus Standard Hours/FTE Status: FTE = hours per pay period)Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: Union Job Posting: Jun

EEO/Disability/Veteran employer.