Patient Access Rep II

BJC HealthCare; O’Fallon (MO); On-site; USD 42,000 - 54,000; Full time

Job summary

BJC HealthCare is seeking a Patient Access Representative II for the wound care department at Progress West Hospital in St. Charles County.

You will be the first contact for patients, handling registrations, scheduling, and insurance verification while maintaining a patient-centered approach. The role emphasizes accurate MPI selection, explaining financial responsibilities, and complying with HIPAA, MSP, and related regulations.

Qualifications

• High School Diploma or GED required.
• Experience: less than 2 years preferred.
• Associate's degree preferred.
• CHAA certification preferred.

Responsibilities

• Register patients and schedule appointments in multiple BJC systems.
• Verify demographics and insurance; collect payments when applicable.
• Provide patient education and prep instructions for procedures.
• Explain HIPAA, MSP, Patient Rights and Responsibilities; ensure compliance.

Skills

Communication

Empathy

Attention to detail

Insurance verification

MPI accuracy

Customer service

Education

High School Diploma or GED

Associate's Degree

CHAA

Job description

Additional Information About the Role

BJC is looking for a Patient Access Rep II in our wound care department at Progress West!

Full Time Position

Monday - Friday

7:45am - 4:15pm

Overview

Opened in 2007, Progress West Hospital is BJC HealthCare's newest hospital in St. Charles County, featuring modern private rooms. It offers 24-hour emergency services and has partnered with St. Louis Children's Hospital to provide world-class pediatric emergency care.

Progress West Hospital also provides surgical services, endoscopy services, a cardiac catheterization lab, medical/surgical inpatient services, diagnostic imaging, lab services, and the Advanced Wound Center, a specialty wound treatment facility with state-of-the-art equipment. Progress West Hospital recently completed an expansion of its Childbirth Center to include enhanced services for at-risk mothers and babies, with a newborn ICU that provides care for babies born as early as 32 weeks.

Progress West Hospital is a Certified Level II Stroke Center. The hospital’s medical office building houses offices for specialists in primary care, cardiology, obstetrics, pediatrics, and orthopedics.

Preferred Qualifications

Role Purpose

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 and making 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

• 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. This position requires a higher level of independent thinking in order to solve complex issues.
• Utilize critical thinking skills to assess and respond to 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 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 and financial record by correctly selecting the correct from our MPI Working independently, this team member will consistently meet or exceed quality standards and serve as mentor for lesser 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

Experience

• <2 years

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, 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 is interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer