Patient Access Rep I

BJC HealthCare•Saint Louis, MO

1d•Onsite

About The Position

The Patient Access Representative is often the first point of contact for patients and represents BJC through compassionate, professional customer service consistent with the organization’s mission, values, and service standards. The role facilitates patients’ entry into BJC facilities and requires emotional intelligence, professionalism, personal connection, a friendly demeanor, and careful attention to detail. It contributes to patient safety and accurate clinical, financial, and billing records, as well as reimbursement and denial prevention, through accurate patient identification, demographic and insurance collection, benefit verification, and point-of-service collections. The position performs hospital registration and scheduling across multiple BJC systems. It verifies insurance, scans and retrieves documents, validates orders, and provides patients with procedure preparation instructions and information about financial responsibilities and applicable payments. The representative must understand and apply relevant 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 based at 3700 S. Lindbergh and is scheduled Monday through Friday, 8:30 a.m. to 5 p.m., with no weekends or holidays.

Requirements

High school diploma or GED.
No prior experience required.
Professional, positive, patient-focused communication skills.
Critical thinking and problem-solving ability.
Attention to detail and ability to accurately identify patients and maintain records.
Ability to work safely and remain alert in a safety-sensitive position.
Ability to understand and apply applicable healthcare regulatory 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, anticipate patients’ needs, and respond to them.
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 patient from the Master Patient Index (MPI).
Perform hospital registration and scheduling within multiple BJC systems.
Ensure proper patient identification; 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 educate patients about financial responsibilities and applicable payments.
Understand, explain, 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.
Ensure each patient completes a HIPAA acknowledgement.
Work in a constant state of alertness and in a safe manner.