Patient Access Representative

Patient Access Representative I

Progress West is hiring a Full Time Patient Access Rep I in main admitting! 9 : 30am - 6pm M-F Weekend and Holiday Rotation Daily Pay

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States delivering services to residents primarily in the greater St. Louis, southern Illinois, and southeast Missouri regions. With net revenues of 6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban, and rural communities through its 14 hospitals and Days community health locations. Services include inpatient and outpatient care, primary care, community health, and wellness, workplace health, home health, community mental health, rehabilitation, long-term care, and hospice. BJC is the largest provider of charity care, unreimbursed care, and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide 785.9 million annually in community benefit. That includes 410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach, and community health programs and regional economic development.

Preferred Qualifications

Role Purpose

The Patient Access Representative is often the first point of contact for our patients and therefore must represent BJC with the highest standard of customer service, compassion, and perform all duties in a manner consistent with our mission, vision, values, and BJC service standards. The Patient Access Representative will facilitate all components of the patients entrance into any BJC facility. This position will require a high level of emotional intelligence, professionalism, and ability to make a personal connection. The patient experiences vary broadly based on their medical needs and acuity. This position highly impacts the ability to maximize the level of reimbursements and prevention of denials by accurate collection of demographics and insurance information, benefit verification, and point of service collection. Selecting the correct patient from the master person index (MPI) is critical to patient safety. This team member must possess a friendly demeanor, exceptional attention to detail, and maintain knowledge and competence with insurance carriers, Medicare guidelines, as well as federal, state, and accreditation agencies.

Responsibilities

Utilize critical thinking skills to problem solve a variety of situations anticipating patients needs and being able to respond to them. Communicate in a professional, positive, and patient-focused manner with all patients, families, and co-workers whether in-person, over the computer, or by phone. This responsibility is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs and ensuring that we are maintaining the integrity of the patients clinical, financial, and billing record by correctly selecting the precise Master Patient Index (MPI). The responsibilities of this position include hospital registration and scheduling within Days BJC systems. Assures proper patient identification, registers, schedules, verifies insurance, scans, and retrieves documents within Days BJC systems. Validates that the order is complete, signed by the ordering provider, and the correct test is ordered. The attention to detail is essential to ensure accurate patient records. Strong communication skills are necessary in order to provide the patient with preparation instructions for each scheduled procedure, education on financial responsibilities, and collection of applicable patient payments. In order to comply with complex regulatory guidelines, must be able to understand, articulate, and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements. Each patient completes HIPAA acknowledgement. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements

Education : High School Diploma or GED

Experience : No Experience

Preferred Requirements

Education : Associates Degree

Experience : 2 years

Supervisor Experience : No Experience

Licenses & Certifications : CHAA

Benefits and Legal Statement

BJC Total Rewards At BJC we are committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social, and financial well-being.

Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date

Disability insurance

• paid for by BJC

Annual 4 BJC Automatic Retirement Contribution

401(k) plan with BJC match

Tuition Assistance available on first day

BJC Institute for Learning and Development

Health Care and Dependent Care Flexible Spending Accounts

Paid Time Off benefit combines vacation, sick days, holidays, and personal time

Adoption assistance

To learn more go to our Benefits Summary.

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties, and qualifications required of employees assigned to this job. Equal Opportunity Employer