Patient Access Rep II

2 weeks ago

Florissant, United States BJC HealthCare Full time

Additional Information About the Role BJC HealthCare is seeking a PRN Patient Access Representative at our Graham Medical Center outpatient physical, occupational, and speech therapy location In this role you will be scheduling at a high volume within EPIC. Experience in patient scheduling is highly prefered * Hours: PRN- covering as needed for PTO and vacation. Between 6 am-6 PM M-F. Hour will vary depending on needs of the business. * No weekends and holidays Overview Christian Hospital has been serving St. Louis and the surrounding metro areas since 1903. U.S. News & World Report ranks Christian Hospital No. 5 in St. Louis for overall clinical excellence and No. 9 in Missouri, which puts us in the top 6% of all hospitals in the state The U.S. News adult methodology ranks clinical specialties and rates common care procedures and conditions. Christian was nationally ranked as "high performing" in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke. High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition. Northwest HealthCare, six miles west of Christian, offers 24- hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services. This department supports the administrative functions including, but not limited to, registration, scheduling, insurance verification, and charging for the outpatient clinical rehabilitation departments at Graham Medical Center (PT, OT, Speech and Day Rehab). Staff include office assistants, a supervisor and manager. Preferred Qualifications 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 Education High School Diploma or GED Experience

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