Patient Access Rep I

BJC HealthCare•Florissant, MO

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 its mission, vision, values, and service standards. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, 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 is essential to patient safety and record integrity. The position performs hospital registration and scheduling across multiple BJC systems. Duties include identifying and registering patients, scheduling, verifying insurance, scanning and retrieving documents, validating orders, and providing procedure preparation instructions and financial-responsibility education. The representative collects applicable patient payments and follows regulatory requirements, including Medicare Secondary Payer, HIPAA, 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.
  • Strong attention to detail.
  • Professional, positive, and patient-focused communication skills.
  • Ability to use critical thinking to solve problems and anticipate patient needs.
  • Ability to maintain knowledge and competence regarding insurance carriers, Medicare guidelines, and 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.
  • Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

  • Problem-solve 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.
  • Register and schedule patients in multiple BJC systems.
  • Ensure proper patient identification and select the correct patient in the Master Patient Index.
  • Verify insurance, scan and retrieve documents, and maintain accurate patient records.
  • Validate that orders are complete, signed by the ordering provider, and specify the correct test.
  • Provide preparation instructions for scheduled procedures and explain patients’ financial responsibilities.
  • Collect applicable patient payments.
  • Understand, communicate, and enforce compliance with Medicare Secondary Payer, HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
  • Obtain HIPAA acknowledgement from each patient.
  • Remain alert and work safely in this 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.
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