BJC Careers

Pre-Arrival Rep RCM

Saint Louis, MO
Patient Access


Job Description

Job ID: 1179817
Employment Status: Full-Time
Regular/Temporary: Regular

Your Career. Made Better.

BJC Corporate Health Services, the occupational medicine organization within BJC HealthCare, externally supports employers and employees of the St. Louis metropolitan area with three full-service BarnesCare clinics that provide expert physicals, surveillance, injury/exposure evaluation and treatment. Specialized services include contract management of work-related injury care for BJC hospitals, independent medical exams, traveler's health, on-site services, care management, toxicology support and two 24/7 hotlines for body substance exposures and emergency room coordination of work-related care. BJC Corporate Health Services provides occupational health support for BJC employees through on-site and virtual oversight including administration of workers' compensation. BJC Corporate Health Services also manages the BJC WellAware fitness center, which extends fitness opportunities with on-site classes at BJC hospitals throughout the metropolitan area. In 2010, BJC Corporate Health Services became the first and only St. Louis occupational medicine provider quality-certified by the National Association of Occupational Health Providers.


Join Us!


Role Purpose

To ensure prompt and efficient access to hospital outpatient scheduled services by providing exceptional service to customers during the pre-arrival process. Responsible for completing the necessary data elements in a timely and efficient manner in order to financially clear all patients prior to their scheduled event. Will complete work lists as assigned not only to have acceptable productivity but to do so with quality data entry.


Responsibilities

  • Part of a multi-disciplinary team that supports all aspects around financially clearing patients before their arrival. Members of this team are generally cross-trained into 2 - 5 functions. This team supports mutliple BJC hospital facilites.
  • Pre-Registration: outbound calls to patients to obtain and verify accurate demographic and insurance information (including MSPQ as required). May also include a pre-admit function in which encounters are created prior to phone calls being performed. In both cases, utilizes multiple systems and all available resources to verify insurance information that was not completed during the pre-registration/scheduling process.
  • Perform POS Collection functions (primarily in conjunction with the pre-registation process). Using defined worklists patients are contacted with their estimated financial liability and given the option to make payment over the phone before arriving for service.
  • Reviews providers' orders for key elements and processes/indexes them via an on-line fax program. Orders are compared to the scheduling system and matched with an upcoming patient encounter when appropriate.
  • Authorizations (ancillary and surgery): Contacts provider offices, payors and/or payor websites to secure and validate authorization information. A review of medical records may be required if initiating the authorization request directly with a payor. Follow up on post review of insurance mismatch.

  • Minimum Requirements

     

    Degree

  • High School Diploma or GED
  •  

    Experience

  • <2 years

  •  

    Preferred Requirements and Additional Job Information

     

    Experience

  • 2-5 years
  •  

    Licenses & Certifications

  • CHAA
  •  

    Service Support Skills

  • Patient Access - 2 years or more
  • Insurance Verification - 2 years or more

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center


    Legal Statement

    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