Patient Access Rep I

BJC HealthCare • Saint Louis, MO

2d

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC through compassionate, professional customer service consistent with the organization’s 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 needs and acuity vary. Accurate demographics and insurance information, benefit verification, point-of-service collection, and selecting the correct patient in the Master Patient Index (MPI) support patient safety, reimbursement, and denial prevention.

The position performs hospital registration and scheduling across multiple BJC systems. It verifies patient identity and insurance, scans and retrieves documents, validates orders, provides procedure preparation instructions, explains financial responsibilities, and collects applicable payments. The representative must understand and apply 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.

Requirements

• High school diploma or GED.
• No experience required.
• Friendly demeanor and exceptional attention to detail.
• Ability to communicate professionally and provide patient-focused service.
• Ability to understand and apply insurance requirements, 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 2 years of experience.
• Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

• Use critical thinking to solve problems, anticipate patients’ needs, and respond appropriately.
• Communicate professionally, positively, and in a patient-focused manner with patients, families, and coworkers in person, electronically, and by phone.
• Support positive patient experiences, maximize reimbursements, minimize denials and avoidable write-offs, and maintain accurate clinical, financial, and billing records.
• Register and schedule patients within multiple BJC systems.
• Confirm proper patient identification and select the correct patient in the Master Patient Index (MPI).
• Verify insurance and benefits, and scan and retrieve documents in BJC systems.
• 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 requirements, 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.
• Maintain constant alertness and work safely.

Benefits

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