Patient Accounts Rep II

BJC HealthCare; St. Louis (MO); Presencial; USD 40.000 - 56.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive medical, dental, vision,

Life insurance

401(k) match

Tuition Assistance

Health Care & Dependent Care FSAs

Descripción de la vacante

BJC HealthCare is seeking a Patient Accounts Representative II for our refunds team, serving as a credit resolution specialist. The role requires MO or IL residence and on-site monthly attendance, working to resolve complex accounts and ensure timely payments in a large health system.

Ideal candidates have a High School Diploma or GED and exposure to patient accounts or refunds. On-site collaboration and ongoing training are part of the responsibilities.

Formación

• High School Diploma or GED required.
• Experience in patient accounts or refunds preferred.
• On-site attendance required monthly.

Responsabilidades

• Serves as subject matter expert in insurance collections and billing resolution; resolves complex accounts.
• Contacts insurance companies regarding complex claims, updates account information, and performs advanced administrative tasks on accounts.
• Completes follow-up tasks promptly while meeting quality and productivity standards.
• Verifies patient benefits with the insurance carrier and re-files insurance claims as needed for timely payment.
• Collaborates with payors and communicates payor issues for remediation.

Educación

High School Diploma or GED

Descripción del empleo

Additional Information About the Role

BJC HealthCare is seeking a Patient Accounts Representative II for our refunds team serving as a credit resolution specialist.

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 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 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