What are the responsibilities and job description for the Patient Access Rep - Lead position at BJC?

Additional Information About the Role

Do you ehave experience with scheduling, have a passion for healthcare, and have excellent customer service skills? Our St. Louis Children's Rehabilitation department is looking to add a Patient Access Rep - Lead to their great team. Our ideal candidate will have an exceptional customer service background and be comfortable with training and building training materials/packets. Previous experience working in a call center type of environment, patient registration, insurance authorization, and medical terminology is highly preferred.

8:00 a.m. - 4:30 p.m.
Monday through Friday

Overview

St. Louis Children’s Hospital is dedicated to improving the health and lives of children. As one of the top-ranked children’s hospitals in the country, St. Louis Children’s provides care in more than 50 specialty areas through a dedicated team of physicians, nurses, staff and volunteers. Along with inpatient and outpatient medical care, the hospital offers education, wellness and injury-prevention programs to fulfill its mission to “do what’s right for kids.”

Providing comprehensive, high-quality care and serving as an advocate for children has been St. Louis Children’s commitment since its inception in 1879. Today, the hospital serves patients and families across a 300-mile service area, and has seen patients from all 50 states and more than 80 countries.

St. Louis Children’s consistently ranks among America’s Best Children’s Hospitals by U.S.News & World Report in all surveyed categories. In 2021, St. Louis Children’s was one of eight children’s hospitals to rank in the top 25 of all 10 specialties. The hospital’s academic and physician partner, Washington University School of Medicine, is one of the top-ranked medical schools in the United States. Since 2005, St. Louis Children’s has been designated as a Magnet® hospital for nursing excellence from the American Nurses Credentialing Center® (ANCC).

Preferred Qualifications

Role Purpose

This role has a variety of responsibilities including supporting all aspects of the Point of Service Collections process for all BJC hospitals, from individual estimate generation to educational support for Patient Access staff. Managing the price estimation request line, this position may be the first point of contact for potential patients and must represent BJC with the highest standard of customer service, compassion & perform all duties in a manner consistent with our mission, vision, values and BJC service standards. This role ensures the most accurate insurance plan & financial liability amount is populated in the patient record. It coordinates and implements projects and special assignments that support Patient Access processes & initiatives at their assigned HSO. Responsible for the development of innovative processes within PA to support staff working smarter not harder. The Patient Access Lead must possess exceptional attention to detail & critical thinking skills. The Patient Access Lead - HSO will facilitate all components of the Patient Access Rep's pre-boarding and onboarding at BJC. In addition to performing the duties of a PAR I & II, this position serves as as a formal mentor to PAR I & II. Working independent of direct supervision, the lead will coordinate the work of others.

Responsibilities

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. Round various registration areas throughout their assigned HSO to observe registrars for mentoring opportunities. Run and review reports to determine accuracy and timeliness of registrations and then provide additional education where required. Train staff, where necessary, on how to collect point of service payments. Seek to identify trends in patient outcomes related to audits, reporting and compliance

Adjust staffing as needed based on volume expectations. Serve as first line resource to staff for any questions or concerns. Ensures that the productivity and actions of the group meet/support the overall operational goals of the department as established by department leadership. Determine staffing needs. Review staff hours worked vs scheduled hours and determine appropriate disposition if variation exists. Responsible for a call rotation on weekends and Holidays.

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

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