Patient Access Rep I

BJC HealthCare • Des Peres, MO

2d • 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. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, attention to detail, and knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation requirements. Accurate patient identification and collection of demographic and insurance information support patient safety, reimbursement, and prevention of claim denials.

This position is located at Missouri Baptist and is for overnight coverage. The schedule is 32 hours per week, part-time with benefits. The schedule alternates: Week 1 is Monday, Tuesday, Friday, and Saturday from 11:00 p.m. to 7:30 a.m.; Week 2 is Sunday, Tuesday, Wednesday, and Thursday from 10:30 p.m. to 7:30 a.m. Training is two weeks, from 8:00 a.m. to 4:30 p.m.

The role includes hospital registration and scheduling across multiple BJC systems, patient identification, insurance verification, and document scanning and retrieval. The representative verifies that orders are complete, signed by the ordering provider, and for the correct test; provides procedure preparation instructions and financial responsibility information; and collects applicable patient payments. The role also requires applying 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. This is a safety-sensitive position requiring constant alertness and safe work practices.

Requirements

• High school diploma or GED.
• No experience required.
• Exceptional attention to detail.
• Strong communication skills and a professional, positive, patient-focused manner.
• Ability to use critical thinking to solve problems and respond to patient needs.
• Ability to accurately identify patients and maintain accurate patient records.
• 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

• Use critical thinking to resolve a variety of situations, anticipate patient needs, and respond appropriately.
• Communicate professionally and positively with patients, families, and coworkers in person, by computer, and by phone.
• Support a positive patient experience, maximize reimbursements, minimize denials and avoidable write-offs, and maintain the integrity of clinical, financial, and billing records through accurate Master Patient Index selection.
• 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 for the correct test.
• Provide preparation instructions for scheduled procedures and educate patients about financial responsibilities.
• Collect applicable patient payments.
• Understand, explain, and enforce requirements involving Medicare Secondary Payer, HIPAA, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
• Obtain HIPAA acknowledgement from each patient.
• Maintain constant alertness and work safely in a safety-sensitive role.

Benefits

• Comprehensive medical, dental, vision, and 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.

What This Job Offers

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