Patient Access Rep II

BJC HealthCare • Sullivan, MO

10d • Onsite

About The Position

Missouri Baptist Sullivan Hospital is a designated critical access hospital committed to providing quality health care service to residents in Crawford, Franklin and Washington counties. The hospital has enhanced and expanded the health care services available to the greater Sullivan community with its state-of-the-art emergency department, modern childbirth center, critical care unit, multiroom surgical suite, expanded cardiac rehab services, and a cancer center. A 22,500 square-foot medical office building provides offices for primary care physicians as well as space for a variety of visiting medical and surgical specialists from the St. Louis area. Missouri Baptist Sullivan Hospital operates four rural health clinics providing quality health care to surrounding communities. In addition, the hospital operates a comprehensive Therapy and Rehabilitation department and an award-winning Wound Care Center with two hyperbaric chambers. Physical, occupational and speech therapies are offered at the Sullivan Sports Fitness & Rehabilitation Center, 216 West Main Street. The Center offers a full range of therapies with the equipment and staff to treat children and adults with traumatic head or spinal injuries; cerebral vascular accidents; orthopedic or sports injuries; swallowing or language disorders; and burns. The Center provides an exercise specialist and massage therapist, and operates a fully equipped exercise facility open to the community through memberships. The Physical Rehab Dept is certified by the Missouri State Division of Workers' Compensation to treat occupational injuries. The Patient Access Representative is often the first point of contact for our patients and therefore must represent BJC with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, vision, values, and BJC service standards. The Patient Access Representative will facilitate all components of the patients' entrance into any BJC facility. This position will require a high level of emotional intelligence and making a personal connection. The patient experiences vary broadly based on their medical needs and acuity. This position highly impacts the ability to maximize the level of reimbursements and prevention of denials by accurate collection of demographics and insurance information, benefit verification and point of service collection. Selecting the correct patient from the master person index (MPI) is critical to patient safety. This team member must possess a friendly demeanor, exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state, and accreditation agencies.

Requirements

• High School Diploma or GED
• <2 years

Nice To Haves

• Associate's Degree
• 2-5 years
• No Experience
• CHAA

Responsibilities

• The responsibilities of this position include hospital registration and scheduling within multiple BJC systems.
• Assures proper patient identification, registers, schedules, verifies insurance, scans and retrieves documents within multiple BJC systems.
• Validates that the order is complete, signed by the ordering provider, and the correct test is ordered.
• The attention to detail is essential to ensure accurate patient records.
• Strong communication skills are necessary in order to provide the patient with preparation instructions for each scheduled procedure, education on financial responsibilities and collection of applicable patient payments.
• In order to comply with complex regulatory guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements.
• Each patient completes HIPAA acknowledgement.
• This position requires a higher level of independent thinking in order to solve complex issues.
• Utilize critical thinking skills to assess and respond to a variety of situations, anticipating patients' needs and being able to respond to them.
• Communicate in a professional, positive, and patient-focused manner with all patients, families, and co-workers whether in-person or by phone.
• This responsibility is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs, and ensuring that we are maintaining the integrity of the patients clinical and financial record by correctly selecting the correct from our MPI
• Working independently, this team member will consistently meet or exceed quality standards and serve as mentor for lesser skilled employees.
• BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Benefits

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines 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