Patient Accounts Rep II

BJC HealthCare; St. Louis (MO); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Accounts Representative II to enhance their insurance follow-up processes. In this role, you will be the go-to expert for addressing complex billing issues, ensuring timely resolution of accounts, and providing mentorship to junior staff. This position offers a unique opportunity to work within a large nonprofit healthcare organization that prioritizes community benefits and patient care. Join a team committed to making a difference in the healthcare landscape while enjoying comprehensive benefits and a supportive work environment.

Benefits

Comprehensive medical, dental, and vision insurance

Disability insurance paid by BJC

Pension Plan/403(b) Plan funded by BJC

401(k) plan with BJC match

Tuition Assistance available from day one

Health Care and Dependent Care Flexible Spending Accounts

Paid Time Off benefit

Adoption assistance

Qualifications

• Experience in insurance follow-up and billing resolution is essential.
• Strong communication and analytical skills are preferred.

Responsibilities

• Ensure timely review and resolution of payor and patient accounts.
• Contact insurance companies for complex claims and updates.
• Train and mentor junior staff in insurance processes.

Skills

Insurance follow-up

Billing resolution

Communication skills

Analytical skills

Education

High School Diploma or GED

Job description

Additional Information About the Role

BJC HealthCare is seeking a Patient Accounts Representative II for insurance follow up.

If you have experience in insurance follow up, apply today!

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 $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals 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 ongoing 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

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

Minimum Requirements

Education

1. High School Diploma or GED

Experience

1. <2 years

Preferred Requirements

Experience

1. 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, vision, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Pension Plan*/403(b) Plan funded by BJC
• 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 www.bjctotalrewards.com/Benefits

*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