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REP, PATIENT ACCESS II - Full Time

Job Description


Job ID: 1198899
Employment Status: Full-Time
More Information:

Memorial Hospital Belleville is located in a well-established west Belleville neighborhood at 4500 Memorial Drive, Belleville Illinois. In addition, we have diagnostic centers in O'Fallon, Illinois, and an off-campus physical therapy center in east Belleville.  As a member of BJC HealthCare, Memorial Hospital Belleville provides full and part-time employment for more than 2300 people.
 
Facts at a Glance:                                                                    
•Accredited by Healthcare Facilities Accreditation Program (HFAP)
•Members, Illinois and American Hospital Associations
•Licensed by the State of Illinois Department of Public Health
•IDPH designated Regional Hospital Coordination Center for the Edwardsville Public Health and Medical Response Region
•Serving the healthcare needs of area residents since 1958
•Designated Magnet™ facility by the American Nurses Credentialing Center (ANCC)
•Accredited Chest Pain Center with PCI by the Society for Chest Pain Centers
•IDPH designated Stroke-Ready Hospital
•Medical staff with more than 400 members representing 42 specialties


Overview


Role Purpose

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 and making 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

  • The responsibilities of this position include hospital registration and scheduling within multiple BJC systems. Assures proper patient identification, registers, schedules, verifies insurance, scans and retrieves documents within multiple BJC systems. Validates that the order is complete, signed by the ordering provider, and the correct test is ordered. The attention to detail is essential to ensure accurate patient records. Strong communication skills are necessary in order to provide the patient with preparation instructions for each scheduled procedure, education on financial responsibilities and collection of applicable patient payments.
  • In order to comply with complex regulatory guidelines, must be able to 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. Each patient completes HIPAA acknowledgement. This position requires a higher level of independent thinking in order to solve complex issues.
  • Utilize critical thinking skills to assess and respond to 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 or by phone. This responsibility is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs, and ensuring that we are maintaining the integrity of the patients clinical and financial record by correctly selecting the correct from our MPI Working independently, this team member will consistently meet or exceed quality standards and serve as mentor for lesser skilled employees.
  • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

  • Minimum Requirements

     

    Degree

  • High School Diploma or GED
  •  

    Experience

  • <2 years

  •  

    Preferred Requirements and Additional Job Information

     

    Degree

  • Associate's Degree
  •  

    Experience

  • 2-5 years
  •  

    Supervisor Experience

  • No Experience
  •  

    Licenses & Certifications

  • CHAA

  • 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