Patient Access Rep II

BJC HealthCare • St. Louis, MO

2d

About The Position

St. Louis Children’s Hospital is seeking a Patient Access Representative for its Therapy Department. This full-time floater works across the Central West End, CSCC West, South County, Edwardsville, Progress West, and Northwest healthcare medical buildings. The schedule is 8–10-hour days on the day shift.

The Patient Access Representative is often the first point of contact for patients and is expected to deliver compassionate, patient-focused service consistent with BJC’s mission, values, and service standards. The role facilitates patients’ entry into BJC facilities, including registration and scheduling, accurate identification and recordkeeping, insurance verification, and point-of-service payment collection. It calls for attention to detail, emotional intelligence, independent thinking, and knowledge of insurance requirements and applicable regulations.

The position requires the ability to work in a constant state of alertness and in a safe manner. The role works independently, meets or exceeds quality standards, and serves as a mentor to less-skilled employees.

Requirements

• High school diploma or GED.
• Less than 2 years of experience is listed as the minimum requirement.
• Friendly demeanor, exceptional attention to detail, and strong communication skills.
• Ability to work independently, use critical thinking, and solve complex issues.
• Knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation requirements.

Nice To Haves

• Associate’s degree.
• 2–5 years of experience.
• Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

• Register and schedule patients using multiple BJC systems.
• Ensure proper patient identification and select the correct patient from the master person index (MPI).
• 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 financial responsibilities.
• Collect applicable patient payments and help maximize reimbursements while minimizing denials and avoidable write-offs.
• Understand, communicate, and enforce compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements; obtain each patient’s HIPAA acknowledgement.
• Use critical thinking to assess and respond to situations, anticipate patient needs, and resolve complex issues.
• Communicate professionally and positively with patients, families, and co-workers in person and by phone.
• Work independently to meet or exceed quality standards and mentor less-skilled employees.
• Work in a constant state of alertness and in a safe manner.

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.

What This Job Offers

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