Patient Access Rep I

BJC HealthCare•St. Louis, MO

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC through compassionate, professional customer service consistent with its mission, vision, values, and service standards. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, professionalism, attention to detail, and the ability to connect with patients whose medical needs and acuity vary. Accurate collection of demographic and insurance information, benefit verification, and point-of-service collection help maximize reimbursement and prevent denials. Correct selection of patients from the Master Patient Index (MPI) is critical to patient safety. The position performs hospital registration and scheduling across multiple BJC systems, verifies insurance, scans and retrieves documents, and validates that orders are complete, signed by the ordering provider, and for the correct test. The representative gives patients preparation instructions for scheduled procedures, explains financial responsibilities, and collects applicable payments. The role also requires understanding and enforcing applicable requirements, including Medicare Secondary Payer guidelines, HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements. Each patient completes a HIPAA acknowledgement. BJC identifies this as a safety-sensitive position; maintaining alertness and working safely are essential functions. This is a full-time position, Monday through Friday, 9:00 AM–5:30 PM. Training lasts four weeks and runs 8:00 AM–4:30 PM.

Requirements

  • High school diploma or GED.
  • No prior experience required.
  • Professional, positive, patient-focused communication skills.
  • Critical thinking and problem-solving skills.
  • Exceptional attention to detail.
  • Ability to correctly select patient records from the Master Patient Index.
  • Ability to understand and apply insurance, Medicare, and applicable regulatory requirements.
  • Ability to work in a constant state of alertness and in a safe manner.

Nice To Haves

  • Associate’s degree.
  • Less than two years of experience.
  • Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

  • Problem-solve varied situations using critical thinking, anticipate patients’ needs, and respond appropriately.
  • Communicate professionally, positively, and with a patient-focused approach with patients, families, and coworkers in person, by computer, or by phone.
  • Maintain the integrity of patients’ clinical, financial, and billing records by correctly selecting the precise Master Patient Index entry.
  • Register and schedule patients in multiple BJC systems.
  • Confirm patient identity, verify insurance, and scan and retrieve documents in BJC systems.
  • Validate that orders are complete, signed by the ordering provider, and specify the correct test.
  • Provide preparation instructions for scheduled procedures and explain patients’ financial responsibilities.
  • Collect applicable patient payments.
  • Understand and articulate applicable regulatory requirements and ensure hospital compliance with them.
  • Obtain a HIPAA acknowledgement from each patient.
  • Maintain alertness and work safely in this safety-sensitive position.

Benefits

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