Patient Access Rep

BJC HealthCare; St. Louis (MO); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Life insurance

Legal services

401(k) with company match

Tuition assistance

Paid Time Off

Job summary

BJC HealthCare is seeking a Patient Access Representative to be the first point of contact for patients and support entrance into facilities. This role emphasizes empathy, accuracy, and the ability to maximize reimbursements while verifying demographics and insurance information.

Responsibilities include hospital registration, schedule coordination, insurance verification, and adherence to HIPAA and MSP guidelines. Strong attention to detail and professional communication are essential.

Qualifications

• High School Diploma or GED required.
• Prefer Associate's Degree.
• CHAA certification is a plus.
• Knowledge of Medicare guidelines and HIPAA privacy standards preferred.

Responsibilities

• Register patients and schedule in multiple systems with accuracy while verifying identity and insurance.
• Collect demographics and insurance information; explain financial responsibilities and collect payments as needed.
• Provide clear prep instructions for procedures and communicate effectively with patients and families.
• Adhere to MSP, HIPAA, and other regulatory requirements; maintain patient records and confidentiality.

Education

High School Diploma or GED

Associate's Degree

Job description

Overview

The Patient Access Representative is often the first point of contact for our patients and therefore 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 Patient Access Representative will facilitate all components of the patients' entrance into any BJC facility. This position will require a high level of emotional intelligence, professionalism and ability to make a personal connection. The patient experiences vary broadly based on their medical needs and acuity. This position highly impacts the ability to maximize the level of reimbursements and prevention of 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. This team member must possess a friendly demeanor, exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state, and accreditation agencies.

Responsibilities

• Utilize critical thinking skills to problem solve a variety of situations, anticipating patients' needs and being able to respond to them. Communicate in a professional, positive, and patient-focused manner with all patients, families, and co-workers whether in-person, over the computer or by phone. This responsibility is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs, and ensuring that we are maintaining the integrity of the patients clinical, financial, and billing record by correctly selecting the precise Master Patient Index (MPI).


• The responsibilities of this position include hospital registration and scheduling within multiple BJC systems. Assures proper patient identification, registers, schedules, verifies insurance, scans and retrieves documents within multiple BJC systems. Validates that the order is complete, signed by the ordering provider, and the correct test is ordered. The attention to detail is essential to ensure accurate patient records. Strong communication skills are necessary in order to provide the patient with preparation instructions for each scheduled procedure, education on financial responsibilities and collection of applicable patient payments.


• In order to comply with complex regulatory guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements.Each patient completes HIPAA acknowledgement.


• 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

• High School Diploma or GED

Preferred Requirements

• Associate's Degree


• \u003c2 years


• No Experience


• CHAA

Benefits and Legal Statement

BJC Total Rewards

• 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