Lead Patient Access & Revenue Cycle Specialist

BJC HealthCare; Florissant (MO); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental coverage

Retirement plan

Tuition assistance

Job summary

BJC HealthCare is seeking a Lead, Patient Access to float between two locations in the greater St. Louis area. The role oversees revenue cycle processes, cash posting, billing, and accounts receivable to ensure accuracy and regulatory compliance.

You will coordinate with clinical departments and revenue cycle leadership to resolve issues, optimize workflows, and improve payer communications. A strong background in patient accounts and third-party billing is required.

Qualifications

• High School Diploma or GED required.
• 2-5 years of experience in revenue cycle or patient access.
• Associate's Degree preferred.

Responsibilities

• Resolves escalated problems through coordinated efforts with team members, clinical departments and revenue cycle leadership; analyzes data and manages reporting functions; addresses internal and external questions regarding revenue, cash reconciliation and claims corrections.
• Utilizes thorough understanding of the revenue cycle to provide enhanced business process flows and to develop solutions.
• Provides expertise in the area of patient accounts related to third party billing, customer service responses, charge entry, payment processing and reconciliation.
• Facilitates payor meetings; escalates payor issues among various revenue management departments to be used towards remediation efforts.
• Provides training to various functions and departments; performs accounts receivable projects and conducts audit activities for the revenue cycle.

Education

High School Diploma or GED

Associate's Degree

Job description

Additional Information About the Role

BJC Behavioral Health is seeking a Lead, Patient Access to float between two locations!

Schedule: 8 AM-5 PM M-F

Locations: 1150 Graham Rd. and 3309 S. Kingshighway Blvd.

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 $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14hospitals 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. BJC and its hospitals and health service organizations provide $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 Accounting Lead is responsible for providing assistance to internal and external customers in support of revenue cycle financial systems. This position is also responsible for ensuring that multi-facility revenue is accurate and meets the compliance standards of regulatory payors. This position also ensures the efficient operation of all revenue cycle functions, to include cash posting, billing, and accounts receivable.

Responsibilities

Resolves escalated problems through coordinated efforts with team members, clinical departments and revenue cycle leadership; analyzes data and manages reporting functions; addresses internal and external questions regarding revenue, cash reconciliation and claims corrections.

Utilizes thorough understanding of the revenue cycle to provide enhanced business process flows and to develop solutions.

Provides expertise in the area of patient accounts related to third party billing, customer service responses, charge entry, payment processing and reconciliation.

Facilitates payor meetings; escalates payor issues among various revenue management departments to be used towards remediation efforts.

Provides training to various functions and departments; performs accounts receivable projects and conducts audit activities for the revenue cycle.

Minimum Requirements

Education

High School Diploma or GED

Experience

2-5 years

Preferred Requirements

Education

Associate's Degree

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, vison, 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

To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer