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Patient Accounts Rep II

Job Description


Job ID: 1198009
Employment Status: Full-Time
More Information:

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 mid-Missouri regions. BJC serves patients and their families in urban, suburban and rural communities through its 15 hospitals and multiple 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.


Overview


Role Purpose

The Patient Accounts Representative II serves as a subject matter expert in ensuring the timely review, collection and resolution of all payor and patient accounts. This position provides on-going analysis & review review of insurance verifications and account submissions. This position also helps facilitate the resolution of debit and credit accounts based on the information gathered from insurers, physicians, hospital personnel, governmental agencies and patients. Additionally, this position is responsible for training and mentoring junior level staff.


Responsibilities

  • Serves as the subject matter expert in the area of insurance collection activities and billing resolution; resolves complex accounts and ensures their full resolution.
  • Contacts insurance companies regarding complex claims, updates account information, and completes advanced administrative tasks on accounts.
  • Completes necessary follow up tasks in a timely manner while maintaining departmental quality and productivity standards.
  • Confirms patient benefits with insurance carrier and re-files insurance claims as necessary to ensure timely and accurate payment.
  • Works with assigned payors and assist in the communication of identified payor issues for remediation efforts.

  • Minimum Requirements

     

    Degree

  • High School Diploma or GED
  •  

    Experience

  • <2 years

  •  

    Preferred Requirements and Additional Job Information

     

    Experience

  • 2-5 years

  • 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