Patient Accounts Rep II

BJC HealthCare (New); Missouri; On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Paid Time Off

Tuition Assistance

401(k) plan with company match

Health insurance

Disability insurance

Job summary

BJC HealthCare is seeking a Patient Accounts Representative II for our refunds team in Missouri. You will serve as a credit resolution specialist for BJC HealthCare, focusing on timely review, resolution of payor and patient accounts and insurance follow-up.

Applicants must be located in MO or IL and able to attend on site meetings monthly. Prior experience in insurance or billing follow up is preferred, and you will mentor junior staff as needed.

Qualifications

• Experience with insurance collections and billing follow-up is preferred.
• Ability to review and resolve payor and patient accounts.
• Mentor junior staff and provide guidance on account resolution.

Responsibilities

• Serves as the subject matter expert in insurance collection activities and billing resolution; resolves complex accounts and ensures full resolution.
• Contacts insurance companies regarding complex claims and completes advanced administrative tasks on accounts.
• Performs timely follow-up while maintaining quality and productivity standards.
• Verifies patient benefits with insurance carriers and re-files claims as needed for timely payment.
• Collaborates with payors and communicates issues for remediation.

Skills

Insurance collections

Billing follow-up

Credit resolution

Education

High School Diploma or GED

Job description

Additional Information About the Role

BJC HealthCare is seeking a Patient Accounts Representative II for our refunds team! You will serve as a credit resolution specialist for BJC HealthCare. If you have a background in insurance or billing follow up, apply today!

Applicants must be located in MO or IL and able to attend on site meetings monthly.

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 Accounts Representative II serves as a subject matter expert in ensuring the timely review, collection and resolution of all payor and patient accounts. This position provides on-going analysis & review of insurance verifications and account submissions. This position also helps facilitate the resolution of debit and credit accounts based on the information gathered from insurers, physicians, hospital personnel, governmental agencies and patients. Additionally, this position is responsible for training and mentoring junior level staff.

Responsibilities

• Serves as the subject matter expert in the area of insurance collection activities and billing resolution; resolves complex accounts and ensures their full resolution.
• Contacts insurance companies regarding complex claims, updates account information, and completes advanced administrative tasks on accounts.
• Completes necessary follow-up tasks in a timely manner while maintaining departmental quality and productivity standards.
• Confirms patient benefits with insurance carrier and re-files insurance claims as necessary to ensure timely and accurate payment.
• Works with assigned payors and assist in the communication of identified payor issues for remediation efforts.

Minimum Requirements

Education

• High School Diploma or GED

Experience

• <2 years

Preferred Requirements

Experience

• 2-5 years

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