Patient Access Rep II

Additional Information About The Role Monday - Friday 8:30am - 4pm Located at BJC at the Commons No weekends or holidays Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois, and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban, and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long‑term care, and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri, providing $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach, and community health programs and regional economic development. BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes‑Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. Preferred Qualifications Role Purpose The Patient Access Representative is often the first point of contact for our patients and must represent BJC with the highest standard of customer service, compassion, and perform all duties in a manner consistent with our mission, vision, values, and BJC service standards. The role facilitates all components of the patient’s entrance into any BJC facility, requiring a high level of emotional intelligence and the ability to make a personal connection. The role highly impacts the ability to maximize reimbursements and prevent denials by accurate collection of demographics and insurance information, benefit verification, and point‑of‑service collection. Selecting the correct patient from the master person index (MPI) is critical to patient safety. The team member must possess a friendly demeanor, exceptional attention to detail, and maintain knowledge of insurance carriers, Medicare guidelines, and federal, state, and accreditation agencies. Responsibilities Hospital registration and scheduling within multiple BJC systems. Assure proper patient identification, register, schedule, verify insurance, scan and retrieve documents, and validate that orders are complete, signed by the ordering provider, and correct. Attention to detail is essential to ensure accurate patient records. Strong communication skills are necessary to provide patients with preparation instructions for each scheduled procedure, education on financial responsibilities, and collection of applicable payments. Ensure compliance with complex regulatory guidelines, including Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO Requirements. Each patient completes HIPAA acknowledgment. This position requires independent thinking to solve complex issues. Utilize critical thinking skills to assess and respond to a variety of situations, anticipating patients’ needs and responding to them. Communicate professionally, positively, and patient‑focused with all patients, families, and co‑workers, whether in‑person or by phone. This responsibility is critical to ensure a positive patient experience, maximize reimbursements, minimize denials, and preserve the integrity of the patient’s clinical and financial record by correctly selecting from our MPI. Working independently, this team member consistently meets or exceeds quality standards and serves as a mentor for less skilled employees. BJC has determined this is a safety‑sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education High School Diploma or GED Preferred Requirements Education Associate’s Degree Experience 2‑5 years Supervisor Experience No Experience Licenses & Certifications CHAA Benefits And Legal Statement BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well‑being. Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date Disability insurance paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance Not all benefits apply to all jobs. Equal Opportunity Employer #J-18808-Ljbffr BJC HealthCare