Patient Access Rep II

BJC HealthCare • Des Peres, MO

1d

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC through customer service, compassion, and conduct consistent with the organization’s mission, vision, values, and service standards. The role facilitates patients’ entrance into BJC facilities and requires emotional intelligence, personal connection, attention to detail, and knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation requirements. The work affects patient safety, reimbursement, and denial prevention through accurate patient identification, demographic and insurance data collection, benefit verification, and point-of-service collection.

The position performs hospital registration and scheduling across multiple BJC systems. It verifies insurance, scans and retrieves documents, validates that orders are complete and signed by the ordering provider, and confirms the correct test is ordered. The representative communicates preparation instructions, financial responsibilities, and applicable payment requirements to patients.

The role requires understanding and applying Medicare Secondary Payer requirements, HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements. It involves independent judgment to address complex issues, professional and patient-focused communication with patients, families, and coworkers in person and by phone, and consistent achievement of quality standards. The representative may mentor less-skilled employees. BJC identifies this as a safety-sensitive position requiring constant alertness and safe work practices.

The stated schedule is Monday through Friday, 1:00 p.m. to 9:30 p.m., with a weekend rotation.

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 understand, articulate, and enforce applicable regulatory and hospital compliance requirements.
• Ability to use critical thinking and independent judgment to solve complex issues.
• Ability to communicate professionally and in a patient-focused manner with patients, families, and coworkers.
• Ability to work in a constant state of alertness and in a safe manner.
• Monday–Friday schedule from 1:00 p.m. to 9:30 p.m., with a weekend rotation.

Nice To Haves

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

Responsibilities

• Perform hospital registration and scheduling within multiple BJC systems.
• Ensure proper patient identification and select the correct patient from the master person index.
• Register and schedule patients; verify insurance; and scan and retrieve documents in multiple BJC systems.
• Validate that orders are complete, signed by the ordering provider, and specify the correct test.
• Provide patients with preparation instructions for scheduled procedures and education about financial responsibilities.
• Collect applicable patient payments and support accurate reimbursement and denial prevention.
• Understand, communicate, and enforce applicable hospital compliance requirements, including Medicare Secondary Payer, HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
• Ensure each patient completes a HIPAA acknowledgement.
• 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.
• Maintain the integrity of patients’ clinical and financial records and meet or exceed quality standards.
• Serve as a mentor for lesser-skilled employees.
• Work in a constant state of alertness and in a safe manner.

Benefits

• Comprehensive medical, dental, vision, and life insurance, plus 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