Patient Access Rep I

Part-time overnight role at St. Louis Children’s Hospital (11:00 PM – 7:30 AM). Includes shift differential, 1 rotating weekend per month, and 2 holidays per year.

About the role

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, serving 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 provides inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care, and hospice through its 14 hospitals and multiple community health locations. BJC is the largest provider of charity care, unreimbursed care, and community benefits in Missouri, contributing $785.9 million annually in community benefit, including $410.6 million in charity care and financial assistance.

Patients have access to the latest medical advances through a formal affiliation between Barnes-Jewish Hospital, St. Louis Children’s Hospital, and the Washington University School of Medicine.

Role Purpose

The Patient Access Representative is often the first point of contact for patients and must represent BJC with the highest standard of customer service and compassion. This role facilitates all components of a patient’s entrance into any BJC facility, requiring high emotional intelligence, professionalism, and the ability to make personal connections. The position impacts reimbursement levels and denial prevention by accurately collecting demographics, insurance information, verifying benefits, and collecting point-of-service payments. Selecting the correct patient from the Master Person Index (MPI) is critical to patient safety. The role demands a friendly demeanor, exceptional attention to detail, and knowledge of insurance carriers, Medicare guidelines, and regulatory agencies.

Responsibilities

• Utilize critical thinking to problem-solve various situations, anticipate patient needs, and respond accordingly.
• Communicate professionally and positively with patients, families, and coworkers in-person, over the phone, or via computer to ensure a positive patient experience, maximize reimbursements, and minimize denials.
• Ensure the integrity of patients' clinical, financial, and billing records by correctly selecting the precise Master Patient Index (MPI).
• Perform hospital registration and scheduling within multiple BJC systems, ensuring proper patient identification, insurance verification, and document scanning/retrieval.
• Validate that orders are complete, signed by the ordering provider, and that the correct test is ordered.
• Provide patients with preparation instructions for scheduled procedures, educate them on financial responsibilities, and collect applicable payments.
• Understand, articulate, and enforce compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights, Advance Directives, Consent to Treat, EMTALA, and JCAHO Requirements.
• Ensure each patient completes HIPAA acknowledgment.

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.

Requirements

Minimum Requirements

• Education: High School Diploma or GED
• Experience: No prior experience required

Preferred Requirements

• Education: Associate’s Degree
• Licenses & Certifications: Certified Healthcare Access Associate (CHAA)

Benefits

• Comprehensive medical, dental, vision, life insurance, and legal services available on the first day of the month after hire.
• Disability insurance paid for by BJC.
• Annual 4% BJC Automatic Retirement Contribution.
• 401(k) plan with BJC match.
• Tuition Assistance available from day one.
• Health Care and Dependent Care Flexible Spending Accounts.
• Paid Time Off combining vacation, sick days, holidays, and personal time.
• Adoption assistance.

Not all benefits apply to all jobs.