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Job Details


BJC HealthCare

Patient Accounts Rep II

Healthcare

Patient Safety

No

Saint Louis, Missouri, United States

Additional Information About the Role

BJC HealthCare is seeking a Patient Accounts Representative!

We are seeking individuals with a background in medical claims with an understanding of payors policies and how to look up insurance eligibility.

The ideal candidate will also have some knowledge of accounts receivables as well.


Overview

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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 Accounts Representative II serves as a subject matter expert in ensuring the timely review, collection and resolution of all payor and patient accounts. This position provides on-going analysis & review review of insurance verifications and account submissions. This position also helps facilitate the resolution of debit and credit accounts based on the information gathered from insurers, physicians, hospital personnel, governmental agencies and patients. Additionally, this position is responsible for training and mentoring junior level staff.

Responsibilities

Serves as the subject matter expert in the area of insurance collection activities and billing resolution; resolves complex accounts and ensures their full resolution.Contacts insurance companies regarding complex claims, updates account information, and completes advanced administrative tasks on accounts.Completes necessary follow-up tasks in a timely manner while maintaining departmental quality and productivity standards.Confirms patient benefits with insurance carrier and re-files insurance claims as necessary to ensure timely and accurate payment.Works with assigned payors and assist in the communication of identified payor issues for remediation efforts.

Minimum Requirements

Education

High School Diploma or GED

Experience