BJC Healthcare Patient Access Rep I in Saint Louis, Missouri
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BJC Behavioral Health is a community health center that provides and coordinates behavioral health services for more than 6,000 seriously mentally ill adults and seriously emotionally disturbed children in St. Louis City, St. Louis County, St. Franois, Iron and Washington counties. As an Administrative Agent of the Missouri Department of Mental Health (DMH) serves as a major point of entry for people eligible for mental health services funded by DMH and is responsible for serving as gatekeeper to the public mental health system. BJC Behavioral Health also administers the BJC Employee Assistance Program ad Behavioral Health Partners, an administrative services organization.
To ensure prompt and efficient access to hospital care, by providing exceptional service to customers during the registration experience. Create a customer focused environment through effective communication with patients and guests. Accurately collect reimbursement information for clinical care and reimbursement. Coordinates and is responsible for patient registration for initiation of legal medical record and financial data.
Proficient on the hospital registration and multiple ancillary computer systems. Registers, verifies insurance, checks insurance eligibility, scans and retrieves documents in the Activefax system. Provide preparation instructions for each procedure scheduled. Proficient in insurance basics to recognize commercial and government plans and where to obtain a referral or authorization. If required, determine appropriate point of service payment and obtain amount from the patient by utilizing appropriate scripting.
Communicate in a professional, positive and respectful manner with patients and offices. Be able to provide consistent excellent customer service in a variety of situations.
Assures hospital compliance with Medicare Secondary Payor (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements. Ensures each patient completes HIPAA acknowledgement and offers financial assistance information.
Validates that the order is complete with two patient identifiers, a dated signature by the ordering provider, an appropriate diagnosis is indicated for the test being ordered, and correct that the correct test is indicated.
Perform price estimation prior to service and issues ABN to the patient to collect their non-covered amount due for the scheduled services.
- High School Diploma or GED
- <2 years
- No Experience
Preferred Requirements and Additional JobInformation
- Associate's Degree
Licenses & Certifications
- Patient Access - 1 year or more
Note: not all benefits apply to all openings
- Comprehensive medical, dental, life insurance, and disability plan options- Pension Plan*/403(b) Plan- 401(k) plan- Tuition Assistance- Health Care and Dependent Care Reimbursement Accounts-On-Site Fitness Center (depending on location)-Paid Time Off Program for vacation, holiday and sick time
*Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center
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