Patient Access Rep II

Christian Hospital and Northwest HealthCare; St. Louis (MO); On-site; USD 45,000 - 55,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

401(k) match

Paid Time Off

Job summary

Christian Hospital Northwest is seeking a Patient Access Representative II for the Sleep Lab to join our team. This full-time, on-site role involves registering and scheduling patients, verifying insurance, and communicating financial responsibilities to patients and their families.

The ideal candidate will have 2-5 years of experience in patient access, a High School Diploma or GED (Associate's degree preferred), and strong attention to detail with excellent communication.

Qualifications

• Requires high school diploma or GED.
• Associate's degree preferred.
• 2-5 years of experience in patient access or related field.
• Must understand HIPAA and patient privacy requirements.

Responsibilities

• Register patients and schedule in multiple systems; verify demographics and insurance.
• Explain financial responsibilities; collect patient payments when applicable.
• Understand and enforce HIPAA, MSP, and patient rights requirements.
• Maintain accurate patient records and communicate clearly with patients and staff.

Skills

Customer service

Attention to detail

Communication

Education

High School Diploma or GED

Associate's Degree

Tools

MPI systems

Job description

Additional Information About The Role

Christian Hospital Northwest is looking for a Patient Access Rep II for our Sleep Lab!

Full Time Position

Monday - Friday

On Site

Overview

Christian Hospital has been serving St. Louis and the surrounding metro areas since 1903. U.S. News & World Report ranks Christian Hospital No. 5 in St. Louis for overall clinical excellence and No. 9 in Missouri, which puts us in the top 6% of all hospitals in the state! The U.S. News adult methodology ranks clinical specialties and rates common care procedures and conditions. Christian was nationally ranked as “high performing” in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke. High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition. Northwest HealthCare, six miles west of Christian, offers 24- hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services. Outpatient diagnostics sleep center testing mainly adult patients during the night and day hours.

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