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REP, PATIENT ACCESS - QUALITY

Job Description


Job ID: 1208782
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

Performs registration reporting functions including reconciliation of daily hospital census, level of care and SMS patient type for accurate charging and volume reports. Works with other departments to research, analyze, and take appropriate actions to resolve discrepancies in data that is critical to financial and statistical accuracy. Responsible for systems and error control for all registrations including identification of system errors as they occur. May publish monthly Summary Quality Reports.


Responsibilities

  • Coordinates activities, reports and documents that ensures regulatory and accreditation compliance.
  • Resolves discrepancies in registration data through review of reports, worklists and communication from departments, including Enterprise Coding, Revenue Management and Case Management. Perform quality audits to monitor integrity of data obtained during the registration process. Reviews patient status changes moving from inpatient to outpatient.
  • Proficient in knowledge of insurance and data elements required for a patient registration. Available as an immediate resource during scheduling and registration.
  • Communicates in a professional, positive and respectful manner with all departments.
  • Implements and monitors in-service training programs for quality assurance purposes in technical areas. Analyzes error data and prepares written reports for leadership.
  • 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

  • 2-5 years
  •  

    Supervisor Experience

  • No Experience

  •  

    Preferred Requirements and Additional Job Information

     

    Degree

  • Associate or Trade School Equi
  •  

    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, 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