Patient Access Rep I

BJC HealthCare•Saint Peters, 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 consistent with the organization’s mission, vision, values, and service standards. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, professionalism, a friendly demeanor, and strong attention to detail. The representative performs hospital registration and scheduling using multiple BJC systems; confirms patient identity and orders; verifies insurance and benefits; and collects applicable payments. The role supports accurate clinical, financial, and billing records, helps maximize reimbursements and prevent denials, and provides patients with procedure preparation instructions and information about financial responsibilities. The position also requires understanding and applying applicable regulatory requirements, including Medicare Secondary Payer rules, HIPAA, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements. 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.
Strong communication skills.
Attention to detail and ability to maintain accurate patient records.
Professionalism, compassion, and a patient-focused approach.
Ability to understand and apply applicable insurance, Medicare, regulatory, and accreditation requirements.
Ability to work in a constant state of alertness and safely.

Nice To Haves

Associate's degree.
Less than two years of experience.
CHAA certification.

Responsibilities

Use critical thinking to resolve varied situations, 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.
Register and schedule patients within multiple BJC systems.
Ensure proper patient identification and select the correct patient from the Master Patient Index (MPI).
Verify insurance and benefits, and collect applicable patient payments.
Scan and retrieve documents within multiple BJC systems.
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.
Comply with and explain applicable hospital requirements, including Medicare Secondary Payer rules, HIPAA Privacy Standards, 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.

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.
Daily Pay.