[Hiring] Patient Access Representative I @BJC HealthCare

Role Description

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.
• Ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs.
• Maintain the integrity of the patients' clinical, financial, and billing record by correctly selecting the precise Master Patient Index (MPI).
• Perform hospital registration and scheduling within multiple BJC systems.
• Assure proper patient identification, register, schedule, verify insurance, scan and retrieve documents within multiple BJC systems.
• Validate that the order is complete, signed by the ordering provider, and the correct test is ordered.
• Provide the patient with preparation instructions for each scheduled procedure, education on financial responsibilities and collection of applicable patient payments.
• 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.
• Complete HIPAA acknowledgement for each patient.
• Work in a constant state of alertness and in a safe manner as this is a safety-sensitive position.

Qualifications

• High School Diploma or GED
• Associate's Degree (preferred)
• No experience required; <2 years preferred
• No supervisor experience required
• CHAA certification (preferred)

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