Patient Access Rep I

BJC HealthCare • Farmington, MO

1d • Onsite

About The Position

The Patient Access Representative is often the first point of contact for patients and must provide compassionate, professional service consistent with BJC’s 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 demographic and insurance information, benefit verification, and point-of-service collections help maximize reimbursement and prevent denials. Correctly selecting patients from the Master Patient Index (MPI) is essential to patient safety. The representative maintains knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation requirements.

This position performs hospital registration and scheduling across multiple BJC systems. It includes confirming patient identity, registering and scheduling patients, verifying insurance, scanning and retrieving documents, validating orders, explaining procedure preparation instructions, educating patients about financial responsibilities, and collecting applicable payments. The representative must understand and follow regulatory requirements, including Medicare Secondary Payer rules, HIPAA Privacy Standards, 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. Employees must remain alert and work safely. The position is located in an office in Farmington, with hours listed as 8:30 a.m. to 5:00 p.m.; no weekends or holidays are required.

Requirements

• High school diploma or GED.
• No experience required.
• Friendly demeanor and exceptional attention to detail.
• Professional communication and patient-focused service skills.
• Ability to use critical thinking and respond to varied patient needs.
• Ability to maintain knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation 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.
• CHAA certification.

Responsibilities

• Use critical thinking to solve a variety of situations, anticipate patient needs, and respond appropriately.
• Communicate professionally, positively, and with a patient-focused approach with patients, families, and coworkers in person, by computer, and by phone.
• Maintain the integrity of patients’ clinical, financial, and billing records, including accurate selection of the Master Patient Index entry.
• Register and schedule patients using multiple BJC systems.
• Confirm patient identity and verify insurance.
• Scan and retrieve documents within BJC systems.
• Validate that orders are complete, signed by the ordering provider, and specify the correct test.
• Provide patients with preparation instructions for scheduled procedures.
• Educate patients about financial responsibilities and collect applicable payments.
• Understand, communicate, and enforce compliance with Medicare Secondary Payer rules, HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
• Obtain a HIPAA acknowledgement from each patient.
• Remain alert and work safely in a safety-sensitive position.

Benefits

• Comprehensive 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED