Faces I

cess Certified Enrollment Specialist I will serve as a resource for patients and provide excellent customer service in a courteous and professional manner. This position requires critical thinking skills a strong work ethic and is essential for Childrens to achieve identified financial benefits. Supports management and team members and performs all duties in a manner which promotes team concept and reflects the mission and vision of Childrens Minnesota. The Family Access Certified Enrollment Specialist I also is responsible for communication with clinics and various ancillary services related to insurance coverage issues. Ensures compliance with local state federal third party EMTALA and JCAHO regulations. Strives to minimize patient arrival to treatment area time improving customer satisfaction as it relates to the registration process waiting time and general communications.

This Family Access Certified Enrollment Specialist I also provides financial assistance. This includes applying for Minnesota Health Care programs through MNsure Market place Childrens Financial Assistance and disability programs to support our inpatient and outpatient families.

Responsibilities include: preregistration/registration insurance verification and eligibility. May also include obtaining initial authorization and notifying payers of patient arrival. The Family Access Certified Enrollment Specialist I will serve as a resource for patients and provide excellent customer service in a professional manner.

The Family Access Certified Enrollment Specialist I works on the hospital campus in main Registration the Childrens Specialty Center basement the Family Resource Center or the Emergency department. Responsibilities include: customer service; registration & Financial Counseling via the phone in person or at the bedside; desk duties and working with many departments and or members of the care team to ensure we meet the needs of our patients and families.

Qualification:

Education:
* High school diploma or GED required. Two to four year colleges preferred.

License/Certification:
* MNsure Certification required to be completed within 3 months of date of hire. Clause should be included in Offer Letter.
* Must be able to pass MNSure background check.

Related Experience:
* 1-2 years previous registration experience preferred. Comparable experience in healthcare revenue cycle operations is acceptable (e.g.; scheduling billing call center registration financial counseling).
* Knowledge of Minnesota health care programs preferred.
* Working knowledge of eligibility verification and prior authorizations for payment from various HMOs PPOs commercial payers and other funding sources preferred.
* Working knowledge of medical terminology preferred.
* Working knowledge of the revenue cycle preferred.
* Previous experience with cash collection preferred.
* Working knowledge of diagnostic procedure supplies and/or facility coding specific to the area of authorization required by the department/unit preferred.
* Previous experience working in a team environment.
* Medical Terminology knowledge is preferred.

Skills and Abilities Required:
* Communication - Excellent customer service skills strong communication skills excellent phone etiquette ability to handle patient complaints to resolution following the 4 As as outlined by Childrens Values. Good oral and written communication skills. Good interpersonal skills and customer focus. Self directed as well as demonstrated ability to work within a team. Ability to handle stress. Knowledge of customer service philosophies and practices.
* Computer - Window-based PC skills keyboarding 40 wpm (speed and accuracy) utilizing payer web pages data entry ability. Working knowledge of Microsoft Office applications. Knowledge of navigating and documenting within an EMR.
* Organizational - Ability to organize/prioritize work and manage time effectively ability to work from multiple schedules detail oriented ability to multitask excellent follow-through skills. Ability to run productivity reports.
* Technical - Knowledge of hospital regulatory and compliance policies and procedures preferred knowledge and understanding of insurance payer requirements. Proficient in the operation of scanners copiers fax machines. Ability to manage a heavy case load in an organized and efficient manner.
* Problem solving - Critical thinking skills work prioritization resourcefulness self-motivated detail oriented continuous quality improvement/process improvement orientation.
* Understands and upholds the basic philosophies of the revenue cycle accounts receivable and patient accounts. Knowledge of community resources for children and families. Ability to maintain a working relationship with other departments within the organization.

Physical Demands

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The posted salary represents a market competitive range based on salary survey benchmark data for similar roles in the local or national market. When determining individual pay rates we carefully consider a wide range of factors including but not limited to market indicators for the specific role the skills education training credentials and experience of the candidate internal equity and organizational needs.

In addition to your salary this position may be eligible for medical dental vision retirement and other fringe benefits. Positions that require night weekend or on-call work may be eligible for shift differentials or premium pay.

All job offers are contingent upon successful completion of an occupational health assessment drug screen background investigation and compliance with the U.S. Government Form I-9 Employment Eligibility Verification.

Childrens Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race color creed sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.About Childrens Minnesota

Childrens Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children from before birth through young adulthood. An independent and not-for-profit system since 1924 Childrens Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals nine primary care clinics multiple specialty clinics and seven rehabilitation sites. As The Kids Experts in our region Childrens Minnesota is regularly ranked by U.S. News & World Report as a top childrens hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit .

Childrens Minnesota is proud to be recognized by Modern Healthcare as one of 2023s Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy care delivery and promoting diversity equity and inclusion in their organizations and the industry.