Patient Access Rep II

Additional Information About The Role

St. Louis Children's Hospital is seeking a Patient Access Representative for our Therapy Department!

Responsibilities

• Facilitates all components of the patients' entrance into any BJC facility.
• Registers, schedules, verifies insurance, scans and retrieves documents within multiple BJC systems.
• Validates that the order is complete, signed by the ordering provider, and the correct test is ordered.
• Communicates with patients about preparation instructions for scheduled procedures, education on financial responsibilities, and collection of applicable patient payments.
• Ensures compliance with complex regulatory guidelines such as Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements.
• Utilizes critical thinking skills to assess and respond to a variety of situations, anticipating patients' needs and responding appropriately.
• Works independently to meet or exceed quality standards and serves as a mentor for lesser skilled employees.

Requirements

• High School Diploma or GED.
• Associate's Degree preferred.
• 2-5 years of relevant experience.
• Supervisor experience preferred.
• Knowledge of insurance carriers, Medicare guidelines, and federal, state, and accreditation agencies.
• Ability to work independently and solve complex issues.
• Strong communication skills.
• Ability to work in a constant state of alertness and in a safe manner due to the safety-sensitive nature of the position.

Qualifications

• Exceptional attention to detail.
• Personal connection with patients.
• Knowledge of HIPAA Privacy Standards.
• Understanding and enforcement of hospital compliance with Medicare Secondary Payer (MSP).
• Comprehensive understanding of BJC service standards.

Skills

• Customer service skills.
• Attention to detail.
• Insurance carrier knowledge.
• Medicare guidelines.
• Compliance with regulatory guidelines.
• Communication skills.
• Independent problem-solving skills.

Benefits

BJC Total Rewards includes:

• Comprehensive medical, dental, vision, life insurance, and legal services.
• Disability insurance.
• 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 combining vacation, sick days, holidays, and personal time.
• Adoption assistance.

Legal Statement

Equal Opportunity Employer.