Patient Access Rep II

Barnes-Jewish West County Hospital; St. Louis (MO); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical, dental, vision, life ins.

Disability insurance (paid by BJC)

401(k) match

Tuition Assistance

Paid Time Off

Adoption assistance

Job summary

BARNES-JEWISH WEST COUNTY HOSPITAL is seeking a Patient Access Representative to support multiple locations and float as needed. You will be the first point of contact for patients, handling registration, scheduling, and insurance verification with a focus on accuracy and excellent service.

This role emphasizes financial responsibility, patient education, and adherence to regulatory standards to maximize reimbursements and minimize denials in a fast-paced hospital environment.

Qualifications

• High School Diploma or GED required.
• Associate's Degree preferred.
• 2-5 years of experience in patient access or related field.
• CHAA certification is referenced in the qualifications.

Responsibilities

• Hospital registration and scheduling within multiple BJC systems, verify insurance, scan and retrieve documents, and collect patient payments.
• Confirm patient identification, ensure order accuracy, verify the correct tests are ordered, and maintain accurate records.
• Provide patient preparation instructions and explain financial responsibilities to patients and families.
• Comply with HIPAA, MSP, and other regulations; maintain patient confidentiality and data integrity.

Education

High School Diploma or GED

Associate's Degree

Job description

Additional Information About The Role

BJC HealthCare is seeking a Patient Access Representative to join our team! This position will float between our Mason Rd, Chesterfield, and South County Locations.

Mon - Fri 10:00am-6:30pm

Overview

Barnes-Jewish West County Hospital offers highly specialized surgical and medical services in an intimate environment and is known for outstanding patient care. With 64 private patient rooms, 14 operating rooms and four intensive care unit rooms, the facility was designed to provide a comforting environment that is innovative, efficient and centered on the patient experience. The campus features a park-like setting with landscaping and a walking path that winds through the grounds and connects to Millennium Park.

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

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