Patient Access Rep I

BJC HealthCare • St. Louis, MO

2d

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 knowledge of insurance carriers, Medicare guidelines, and applicable regulatory and accreditation requirements. Accurate demographic and insurance information, benefit verification, point-of-service collections, and selection of the correct Master Patient Index (MPI) record support patient safety, reimbursement, and prevention of denials.

The position performs hospital registration and scheduling in multiple BJC systems. It confirms patient identity, registers and schedules patients, 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 also provides procedure preparation instructions, explains financial responsibilities, and collects applicable patient payments. The role requires understanding and applying 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.

Requirements

• High school diploma or GED.
• No experience required.
• Strong communication skills.
• Friendly demeanor and exceptional attention to detail.
• Ability to demonstrate emotional intelligence, professionalism, and make a personal connection with patients.
• Ability to understand and apply insurance, Medicare, and applicable regulatory and accreditation requirements.

Nice To Haves

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

Responsibilities

• Problem-solve a variety of situations using critical thinking and anticipate and respond to patients’ needs.
• Communicate professionally, positively, and in a patient-focused manner with patients, families, and coworkers in person, by computer, and by phone.
• Maintain the integrity of patients’ clinical, financial, and billing records by selecting the correct Master Patient Index record and accurately collecting demographic and insurance information.
• Perform hospital registration and scheduling within multiple BJC systems.
• Confirm patient identity; register and schedule patients; verify insurance; and scan and retrieve documents.
• Validate that orders are complete, signed by the ordering provider, and for 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, communicate, 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.
• Maintain constant alertness and work safely in a safety-sensitive position.

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