Patient Access Rep

BJC HealthCare•Sullivan, MO

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC through compassionate, professional, patient-focused service. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, attention to detail, and the ability to make personal connections with patients whose medical needs and acuity vary. Accurate collection of demographic and insurance information, benefit verification, and point-of-service collections help maximize reimbursement and prevent denials. Correctly selecting the patient from the Master Patient Index (MPI) is critical to patient safety and record integrity. This position is based in Outpatient Registration at Missouri Baptist Sullivan, with cross-training in the Emergency Department. It includes hospital registration and scheduling in multiple BJC systems; patient identification; insurance verification; document scanning and retrieval; and confirming that orders are complete, signed by the ordering provider, and specify the correct test. The representative provides preparation instructions for scheduled procedures, explains financial responsibilities, and collects applicable patient payments. The position requires understanding and applying regulatory requirements, including Medicare Secondary Payer rules, HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements. Each patient completes a HIPAA acknowledgement. BJC identifies this as a safety-sensitive position requiring constant alertness and safe work practices. The role is full-time, Monday through Friday, 8:00 AM to 4:30 PM, with weekend on-call duties and a holiday rotation.

Requirements

  • High school diploma or GED.
  • No prior experience required.
  • Strong communication skills and attention to detail.
  • Ability to provide professional, compassionate, patient-focused service and make personal connections.
  • Ability to understand and apply relevant insurance, Medicare, federal, state, and accreditation requirements.
  • Ability to work in a constant state of alertness and in a safe manner.
  • Weekend on-call duty and holiday rotation are required.

Nice To Haves

  • Associate’s degree.
  • Less than two years of experience.
  • Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

  • Use critical thinking to resolve varied situations, anticipate patients’ needs, and respond appropriately.
  • Communicate professionally, positively, and in a patient-focused manner with patients, families, and coworkers in person, by computer, and by phone.
  • Register and schedule patients using multiple BJC systems.
  • Ensure proper patient identification and select the correct patient from the Master Patient Index (MPI).
  • Verify insurance, scan and retrieve documents, and maintain accurate patient, clinical, financial, and billing records.
  • 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 and support reimbursement while minimizing denials and avoidable write-offs.
  • Understand and apply applicable Medicare Secondary Payer, HIPAA, 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 in a safety-sensitive position.

Benefits

  • Comprehensive 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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