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Patient Access Rep I

Job Description


Job ID: 1202428
Employment Status: Part-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

To ensure prompt and efficient access to hospital care, by providing exceptional service to customers during the registration experience. Create a customer focused environment through effective communication with patients and guests. Accurately collect reimbursement information for clinical care and reimbursement. Coordinates and is responsible for patient registration for initiation of legal medical record and financial data.


Responsibilities

  • Proficient on the hospital registration and multiple ancillary computer systems. Registers, verifies insurance, checks insurance eligibility, scans and retrieves documents in the Activefax system. Provide preparation instructions for each procedure scheduled. Proficient in insurance basics to recognize commercial and government plans and where to obtain a referral or authorization. If required, determine appropriate point of service payment and obtain amount from the patient by utilizing appropriate scripting.
  • Communicate in a professional, positive and respectful manner with patients and offices. Be able to provide consistent excellent customer service in a variety of situations.
  • Assures hospital compliance with Medicare Secondary Payor (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements. Ensures each patient completes HIPAA acknowledgement and offers financial assistance information.
  • Validates that the order is complete with two patient identifiers, a dated signature by the ordering provider, an appropriate diagnosis is indicated for the test being ordered, and correct that the correct test is indicated.
  • Perform price estimation prior to service and issues ABN to the patient to collect their non-covered amount due for the scheduled services.
  • 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
  •  

    Supervisor Experience

  • No Experience

  •  

    Preferred Requirements and Additional Job Information

     

    Degree

  • Associate's Degree
  •  

    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