[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
• 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. - Training
• Working one weekend day every 3rd weekend

Qualifications

• High School Diploma or GED
• 2-5 years of experience
• No supervisory 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 in the electronic health record
• Maintains patient privacy and security as outlined by HIPAA
• Manages a high volume of incoming calls from patients, healthcare providers, and facilities
• Ensures resolution to the call
• Leverages critical thinking with speed and accuracy to identify the reason for the call
• 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 for clinical-based needs
• Communicates directly with providers (physicians) 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 in a variety of situations
• Communicates in a professional, positive, and respectful manner with patients, providers, BJC staff, and external organizations
• 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