Patient Access Rep Lead

Additional Information About The Role

Looking to hire a Remote Patient Access Rep Lead for our Estimates Team!

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Additional Preferred Requirements

• Full Time Remote Role
• Monday -Friday 8-4:30 Pm
• Daily Pay
• Prefer Patient Access Rep experience
  
  

Overview

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 southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 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.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

Preferred Qualifications

Role Purpose

The Patient Access Lead - Pre-Arrival could have a variety of responsibilities including supporting all aspects of the pre-arrival process for all BJC sites. This team member may be the first point of contact for potential 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 Lead ensures the most accurate patient financial clearance process is completed and populated in the patient record. This team member coordinates and implements projects and special assignments that support Patient Access processes and initiatives enterprise wide. Responsible for the development of innovative processes within PA to support staff working smarter not harder, continuously training, coaching and mentoring other team members. The Patient Access Lead must possess exceptional attention to detail and critical thinking skills.

Responsibilities

• Coordinates and participates in projects and special assignments. Responsible for maintenance and enhancement of the Patient Access SharePoint site. Experienced in providing direct support for insurance plan changes and system implementations. Competent in use of Microsoft applications, including Word, Excel, and/or SharePoint.
• Communicates in a professional, positive and patient-focused manner whether in-person or by phone. Takes initiative to identify and report system related issues. May work in partnership with vendor and BJC I.T. resources to investigate, resolve and monitor corrections. Excels in multiple computer systems. Cross-trained in all aspects of pre-arrival services and able to provide training and auditing on each process. Complete training documentation, feedback and supports Supervisor(s) in staff development.
• Proficient in registration, authorization securement and other pre-arrival workflows. Experienced in use of multiple BJC computer systems. Demonstrates ability to understand and comply with Medicare Secondary Payer, HIPAA privacy standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, and JCAHO requirements. Ensures updates regarding changes to operational procedures are communicated to the staff. Performs visual quality audits and reports results to leadership. May participate in the development of departmental staffing and have direct responsibility for adhering to those goals. Provide coaching and re-education to staff when trends or competency issues are identified.
• Performs service recovery; support investigation and resolution of operational issues as required. Able to provide consistent, excellent customer service in a variety of situations. Mentor staff in the most appropriate ways to handle various situations that may arise.
• Serves as a subject matter expert in all areas of patient access. Accurately enters patient demographic, insurance and/or procedure information into price estimation application to generate a customized patient estimate for planned or scheduled services. Expert knowledge of scheduled procedures and ability to identify appropriate CPT or ICD-10 code for surgery estimates. Educates patients on various components of the price estimate, to help patients understand and start planning for their expected financial liability. Proactively transfers patients to a financial counselor and/or provides contact information for financial assistance, as needed. May provide on-site education and mentoring for point of service collections. Documents appropriate data into tracking logs.
• 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

• 2-5 years
  
  

Preferred Requirements

Education

• Associate's Degree
  
  

Licenses & Certifications

• CHAA
  
  

Benefits And Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Pension Plan*/403(b) Plan funded by BJC
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance
  
  

To Learn More, Go To Www.bjctotalrewards.com/Benefits

• Not all benefits apply to all jobs
  
  

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