REP, PATIENT ACCESS I

BJC HealthCare • St. Louis, MO

5d • Onsite

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC with a high standard of customer service, compassion, professionalism, and adherence to its mission, vision, values, and service standards. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, attention to detail, and the ability to make a personal connection with patients whose medical needs and acuity vary widely.

The position supports accurate patient identification and records, reimbursement, and denial prevention through collection of demographic and insurance information, benefit verification, and point-of-service collections. It involves hospital registration and scheduling across multiple BJC systems, verification of insurance, document scanning and retrieval, and confirmation that orders are complete, signed, and for the correct test. The representative provides procedure preparation instructions and explains financial responsibilities and applicable payments.

The role requires understanding and applying complex 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. This is a safety-sensitive position requiring constant alertness and safe work practices. The position is at the Center for Advanced Medicine, with a schedule of 6:00 a.m. to 2:30 p.m., Monday through Friday, with rotating weekends.

Requirements

• High school diploma or GED.
• No prior experience required.
• Friendly demeanor and exceptional attention to detail.
• Professional, positive, patient-focused communication skills.
• Ability to work in a constant state of alertness and in a safe manner.
• Ability to understand and apply applicable insurance, Medicare, federal, state, and accreditation requirements.

Nice To Haves

• Associate’s degree.
• Less than two years of experience.
• CHAA certification.

Responsibilities

• Use critical thinking to solve problems, anticipate patient needs, and respond appropriately.
• Communicate professionally and positively with patients, families, and coworkers in person, by computer, and by phone.
• Maintain the accuracy and integrity of patients’ clinical, financial, and billing records, including selecting the correct patient from the Master Patient Index (MPI).
• Register and schedule patients within multiple BJC systems.
• Ensure proper patient identification; verify insurance; and scan and retrieve documents.
• Validate that orders are complete, signed by the ordering provider, and for the correct test.
• Provide patients with preparation instructions for scheduled procedures.
• Educate patients about financial responsibilities and collect applicable payments.
• Understand, explain, and enforce applicable hospital compliance requirements, including Medicare Secondary Payer rules, HIPAA, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements.
• Obtain each patient’s HIPAA acknowledgment.
• Maintain constant alertness and work safely in this safety-sensitive position.

Benefits

• Medical, dental, vision, life insurance, and legal services available on the first day of the month after hire.
• Disability insurance paid for by BJC.
• Annual 4% automatic BJC 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. Not all benefits apply to all jobs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED