Patient Access Rep II
Additional Information About the Role
- 7:30 am- 4:00 pm
- Weekend Rotation
Additional Preferred Requirements
Memorial Hospital Belleville is a 222-bed acute care Magnet® designated hospital offering emergency and critical care services as well as medical and surgical services along with a full complement of diagnostic and treatment modalities. Also located on the Belleville campus, The Orthopedic and Neurosciences Center offers a comprehensive rehabilitation program that includes physical, occupational, speech and hand therapy.
Memorial Hospital Shiloh is a 97-all private bed Magnet® designated hospital located in Shiloh, Illinois. Memorial Shiloh offers a 24/7 emergency department, medical, surgical and diagnostic services including cardiac catheterization, imaging and laboratory. The Family Care Birthing Center features 18 spacious LDRP suites, two dedicated c-section rooms, OB Emergency Department, 24/7 OB hospitalist and neonatology coverage. The Shiloh campus also has the only Illinois Siteman Cancer Center location.
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.
ResponsibilitiesThe 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.
EducationHigh School Diploma or GED