[Hiring] Clinical Representative - Customer Service Access Center @BJC HealthCare

Role Description

Exciting remote opportunity to join an expanded centralized clinical team supporting BJC Medical Group primary care clinics! The Clinical Rep, Cust Svc (Access Ctr) provides remote clinical support by performing a variety of clinical duties such as:

• Managing medication refill requests
• Prior authorizations
• Responding to patient messages through the electronic health record (e.g., MyChart)

Working under the direction of licensed providers, this position requires strong clinical judgment within scope, attention to detail, and efficient inbox management in a fast-paced ambulatory environment.

Training: MUST BE AVAILABLE Full Time 4 weeks 8:00a-4:30p starting 11/30/26 (Monday through Friday 8 a.m. to 4:30 p.m.)

Working one weekend day every 3rd weekend.

Qualifications

• High School Diploma or GED
• 2-5 years of experience
• No supervisor experience required

Requirements

• Navigates the electronic health record to obtain and validate historical information
• Captures and documents demographic and financial information in the electronic health record
• Maintains accountability for accurate data entry and patient privacy as outlined by HIPAA
• Manages a high volume of incoming calls for various reasons, including:
• Scheduling appointments
• Refilling medications
• Obtaining insurance referrals
• Receiving symptom-based care
• Obtaining pre-certification for testing
• Insurance and/or billing questions
• Requests for medical forms and/or test results
• Leverages critical thinking to identify call reasons and take appropriate action
• Researches complex issues in the electronic health record and consults/escalates to clinical staff when necessary
• Schedules patient visits based on complex provider preferences
• Verifies and updates insurance and checks insurance eligibility
• Collects and documents demographics
• Maintains proficiency in and shares knowledge of insurance basics, MyChart, and appointment instructions
• Documents and sends messages to providers and clinical staff in the electronic health record
• Communicates directly with providers to relay pertinent clinical information during after hours
• Manages calls within established performance and customer service standards
• Achieves targeted abandoned call rate, average speed of answer, and average transaction time
• Provides excellent and consistent customer service
• Communicates in a professional, positive, and respectful manner
• Ability to work in a constant state of alertness and in a safe manner is an essential function of this job

Benefits

• 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