Patient Access Rep I

BJC HealthCare•Shiloh, IL

1d•Onsite

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC through compassionate, professional, patient-focused service consistent with the organization’s mission, vision, values, and service standards. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, professionalism, personal connection, attention to detail, and knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation requirements. The position affects patient experience, reimbursement, denial prevention, and the integrity and safety of clinical, financial, and billing records. The role includes hospital registration and scheduling across multiple BJC systems. The representative identifies patients, verifies insurance, processes and retrieves documents, validates orders, and provides procedure preparation instructions and information about financial responsibilities and applicable payments. The position must understand and follow regulatory requirements, including Medicare Secondary Payer rules, HIPAA, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements. This is a safety-sensitive position requiring constant alertness and safe work practices. This is a PRN-only role located at Shiloh, Memorial. At least 32 hours must be worked per month. Shifts vary, and the position requires one weekend per month and two holidays per year.

Requirements

High school diploma or GED.
No experience required.
Work at least 32 hours per month.
Work one weekend per month and two holidays per year.
Maintain a constant state of alertness and work safely.

Nice To Haves

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

Responsibilities

Problem-solve a variety of situations using critical thinking, anticipate patient needs, and respond appropriately.
Communicate professionally, positively, and in a patient-focused manner with patients, families, and coworkers in person, by computer, and by phone.
Maintain the integrity of patients’ clinical, financial, and billing records by correctly selecting the precise Master Patient Index entry.
Perform hospital registration and scheduling within multiple BJC systems.
Ensure proper patient identification; register and schedule patients; verify insurance; and scan and retrieve documents.
Validate that orders are complete, signed by the ordering provider, and specify the correct test.
Provide patients with preparation instructions for scheduled procedures and education about financial responsibilities; collect applicable patient payments.
Understand, explain, and enforce compliance with Medicare Secondary Payer requirements, HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
Obtain a HIPAA acknowledgment from each patient.
Maintain constant alertness and work safely in this safety-sensitive position.

Benefits

Comprehensive medical, dental, vision, life insurance, and legal services available on 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.
Shift differentials.