Patient Access Rep II

BJC HealthCare•Des Peres, MO

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC with high standards of customer service and compassion. The role facilitates patients’ entrance into BJC facilities, requiring emotional intelligence, attention to detail, and a personal connection with patients whose needs and acuity vary. Accurate collection of demographic and insurance information, benefit verification, point-of-service collections, and correct patient selection in the master person index support reimbursement, denial prevention, and patient safety. This position performs hospital registration and scheduling across multiple BJC systems. It requires knowledge of insurance carriers, Medicare guidelines, and applicable federal, state, and accreditation requirements. The position is designated safety-sensitive and requires the ability to remain alert and work safely.

Requirements

  • High school diploma or GED.
  • Less than 2 years of experience listed as the minimum requirement.
  • Friendly demeanor, exceptional attention to detail, strong communication skills, and a patient-focused approach.
  • Ability to understand and apply insurance, Medicare, regulatory, and accreditation requirements.
  • Ability to think independently, use critical thinking, and resolve complex issues.
  • 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.
  • Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

  • Perform hospital registration and scheduling within multiple BJC systems.
  • Verify patient identity and select the correct patient from the master person index.
  • Register and schedule patients, verify insurance, and scan and retrieve documents in BJC systems.
  • Validate that orders are complete, signed by the ordering provider, and specify the correct test.
  • Provide patients with procedure preparation instructions and education about financial responsibilities; collect applicable payments.
  • Understand, explain, and enforce compliance with Medicare Secondary Payer requirements, HIPAA Privacy Standards, the Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements; obtain HIPAA acknowledgements.
  • 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 patient clinical and financial records while supporting positive patient experiences, maximizing reimbursement, and minimizing denials and avoidable write-offs.
  • Meet or exceed quality standards while working independently 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.
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