Patient Access Rep II

About the role

BJC is looking for a Patient Access Rep II! This position would be primarily responsible for scheduling infusions. Monday - Friday 8:30am - 5pm Located at BJC at the Commons No weekends or holidays.

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.

Responsibilities

• 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.
• Ensure accurate patient records through attention to detail.
• Provide patients with preparation instructions for each scheduled procedure, education on financial responsibilities, and collection of 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, JCAHO Requirements.
• Obtain HIPAA acknowledgement from each patient.
• Use critical thinking skills to assess and respond to a variety of situations, anticipating patients' needs and responding appropriately.
• Communicate in a professional, positive, and patient‑focused manner with patients, families, and co‑workers in‑person or by phone.
• Ensure positive patient experience, maximize reimbursements, minimize denials and avoidable write‑offs, and maintain the integrity of patients’ clinical and financial records by correctly selecting the correct record from the MPI.
• Work independently to consistently meet or exceed quality standards and serve as a mentor for lesser skilled employees.
• Maintain constant alertness and work safely, as this is a safety‑sensitive position.

Requirements

• Education: High School Diploma or GED

Qualifications

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 will require a high level of emotional intelligence and making a personal connection. The patient experiences vary broadly based on their medical needs and acuity. This position highly impacts the ability to maximize the level of reimbursements and prevention of denials by accurate collection of 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.

• Education: Associate's Degree (preferred)
• Experience: 2‑5 years (preferred)
• Licenses & Certifications: CHAA

Benefits

• Comprehensive medical, dental, vision, 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

Schedule

Monday - Friday 8:30am - 5pm, located at BJC at the Commons, no weekends or holidays.