Patient Access Rep I

Located at Edwardsville Outpatient Center

About the Role

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, including $410.6 million in charity care and other financial assistance to ensure medical care regardless of ability to pay. Additional community benefits include research, emergency preparedness, regional health care safety net services, health literacy, community outreach, 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, consistently ranked among the top medical schools in the country.

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 requires a high level of emotional intelligence, professionalism, and the ability to make a personal connection. The patient experiences vary broadly based on their medical needs and acuity.

This position highly impacts the ability to maximize reimbursements and prevent denials by accurately collecting 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

• Utilize critical thinking skills to problem solve a variety of situations, anticipating patients' needs and responding to them.
• Communicate in a professional, positive, and patient-focused manner with all patients, families, and co-workers whether in-person, over the computer, or by phone. This responsibility is critical to ensure a positive patient experience, maximize reimbursements, minimize denials, and maintain the integrity of patients' clinical, financial, and billing records by correctly selecting the precise Master Patient Index (MPI).
• Handle hospital registration and scheduling within multiple BJC systems. Assure proper patient identification, register, schedule, verify insurance, scan, and retrieve documents within multiple BJC systems.
• Validate that the order is complete, signed by the ordering provider, and the correct test is ordered. Attention to detail is essential to ensure accurate patient records.
• Provide patients with preparation instructions for each scheduled procedure, education on financial responsibilities, and collect applicable patient payments.
• 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, and JCAHO Requirements. Each patient completes HIPAA acknowledgement.

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 Experience

Preferred Requirements

• Education: Associate's Degree
• Experience: Supervisor Experience (No Experience required)
• Licenses & Certifications: CHAA

Schedule

Monday - Friday, 10:30 AM - 7 PM. No weekends or holidays.

Benefits

• Comprehensive medical, dental, vision, life insurance, and legal services available the 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 the first day.
• BJC Institute for Learning and Development.
• Health Care and Dependent Care Flexible Spending Accounts.
• Paid Time Off benefit combining vacation, sick days, holidays, and personal time.
• Adoption assistance.