Patient Access Rep II

BJC HealthCare•Belleville, IL

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC through compassionate, high-standard customer service consistent with its mission, vision, values, and service standards. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, personal connection, attention to detail, and knowledge of insurance carriers, Medicare guidelines, and applicable regulatory and accreditation requirements. Responsibilities include hospital registration and scheduling across multiple BJC systems; confirming patient identity; verifying insurance and benefits; scanning and retrieving documents; and checking that orders are complete, signed, and for the correct test. The representative provides procedure preparation instructions, explains financial responsibilities, and collects applicable payments. The position requires independent judgment to resolve complex issues and to support accurate clinical and financial records, reimbursement, and denial prevention. The role also serves as a mentor to less experienced employees and is designated safety-sensitive.

Requirements

  • High School Diploma or GED.
  • Strong communication skills.
  • Exceptional attention to detail.
  • Ability to work independently and solve complex issues.
  • Ability to maintain knowledge of insurance carriers, Medicare guidelines, and applicable 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.
  • 2–5 years of experience.
  • CHAA certification.

Responsibilities

  • Register and schedule patients across multiple BJC systems.
  • Confirm proper patient identification and select the correct patient from the master person index.
  • Verify insurance and benefits, scan and retrieve documents, and maintain accurate patient records.
  • Validate that orders are complete, signed by the ordering provider, and for the correct test.
  • Provide patients with preparation instructions for scheduled procedures and education about financial responsibilities.
  • Collect applicable patient payments.
  • Understand, explain, and enforce compliance with Medicare Secondary Payer rules, HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
  • Use critical thinking and independent judgment to assess situations, anticipate patient needs, and resolve complex issues.
  • Communicate professionally and positively with patients, families, and coworkers in person and by phone.
  • Meet or exceed quality standards and mentor less skilled employees.
  • Maintain alertness and work safely in a safety-sensitive position.

Benefits

  • Medical, dental, vision, and 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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