Patient Access Rep I

BJC HealthCare•Shiloh, IL

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, personal connection, and attention to detail. It supports reimbursement and helps prevent denials through accurate collection of demographic and insurance information, benefit verification, and point-of-service collection. Correctly selecting patients from the Master Patient Index (MPI) is essential to patient safety and record integrity. The position is part time in the emergency department, working 12-hour shifts on Saturdays and Sundays from 6:45 AM to 7:15 PM. Responsibilities include hospital registration and scheduling across BJC systems; patient identification; insurance verification; scanning and retrieving documents; and validating that orders are complete, signed by the ordering provider, and for the correct test. The representative provides procedure-preparation instructions, explains financial responsibilities, and collects applicable patient payments. The role also requires understanding and enforcing applicable regulatory and hospital requirements, including Medicare Secondary Payer (MSP), HIPAA, the 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 requiring constant alertness and safe work practices.

Requirements

  • High school diploma or GED.
  • No prior experience required.
  • Professional, positive, patient-focused communication skills.
  • Critical thinking and problem-solving ability.
  • Attention to detail and ability to maintain accurate patient records.
  • 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

  • Use critical thinking to resolve varied situations, anticipate patient needs, and respond appropriately.
  • Communicate professionally, positively, and with a patient-focused approach to patients, families, and coworkers in person, by computer, and by phone.
  • Maintain the integrity of clinical, financial, and billing records by accurately selecting the patient in the Master Patient Index (MPI).
  • Perform hospital registration and scheduling within multiple BJC systems.
  • Verify patient identity and insurance, and scan and retrieve documents within BJC systems.
  • Validate that orders are complete, signed by the ordering provider, and specify the correct test.
  • Provide preparation instructions for scheduled procedures and educate patients about financial responsibilities.
  • Collect applicable patient payments.
  • Understand, communicate, and enforce requirements related to MSP, HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO.
  • Obtain a HIPAA acknowledgement from each patient.
  • Remain alert 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. Not all benefits apply to all jobs.
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