Patient Access Rep II

About the role

BJC HealthCare is a large nonprofit organization serving Missouri and Southern Illinois. As a Patient Access Representative, you will interact with patients and ensure they receive the best possible care while maximizing reimbursements and preventing denials.

Responsibilities

• Facilitate all aspects of patient entrance into BJC facilities, including registration and scheduling.
• Ensure proper patient identification, verify insurance, scan and retrieve documents within multiple BJC systems.
• Validate completeness and accuracy of orders, ensuring the correct tests are ordered and signed by the ordering provider.
• Communicate with patients about preparation instructions, financial responsibilities, and applicable payments.
• Comply with complex regulatory guidelines such as Medicare Secondary Payer (MSP), HIPAA Privacy Standards, and JCAHO Requirements.
• Assess and respond to various situations with critical thinking, ensuring positive patient experience and minimizing denials.
• Work independently to meet or exceed quality standards and serve as a mentor for less experienced employees.

Requirements

• High school diploma or equivalent.
• Associate's degree preferred.
• 2-5 years of relevant experience.
• Strong communication skills.
• Exceptional attention to detail.
• Knowledge of insurance carriers, Medicare guidelines, and federal/state/accreditation agencies.
• Ability to work independently and solve complex issues.
• Positive and patient-focused communication skills.
• Ability to work in a state of alertness and safely.

Preferred Qualifications

• CHAA certification.

Benefits and Legal Statement

BJC offers comprehensive benefits including medical, dental, vision, life insurance, disability insurance, retirement contributions, tuition assistance, and paid time off. For more information, visit our benefits summary. Equal opportunity employer.