Patient Access Rep II Location: - Saint Peters, Missouri - Patient Access - Days - Part-Time - 110693 - $17.50 &ndash; $23.88 / hour (Salary or hourly rate is based on job qualifications and relevant work experience) Job Description Additional Information About the Role BJC is looking for a Patient Access Rep II in our therapy department at our St. Peters location! Part Time Position 24 hours per week Monday, Tuesday, and Friday 8:30am - 5pm Overview Barnes-Jewish St. Peters Hospital proudly serves the health care needs of families in St. Charles, Lincoln and Warren counties. The 102-bed community hospital provides comprehensive inpatient and outpatient services including the Siteman Cancer Center at Barnes-Jewish St. Peters Hospital, the Breast Health and Women&rsquo;s Center, the Cardiology Center, the Neurosurgery Center and the Outpatient Surgery and Endoscopy Center. Barnes-Jewish St. Peters Hospital is an Accredited Chest Pain Center and carries a Level II stroke certification. Additionally, the hospital&rsquo;s medical office building houses offices for specialists in primary care, cardiology, obstetrics, dermatology, surgery and pulmonology. Barnes-Jewish St. Peters Hospital also offers outpatient services including physical therapy, a sleep lab, and cardio-pulmonary rehabilitation. At Barnes-Jewish St. Peters Hospital, every decision is made in the best interest of patients and families. The Therapy Departments provide inpatient services including Physical Therapy, Occupational Therapy and Speech Pathology. Preferred Qualifications Role Purpose 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. Responsibilities - The 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. Minimum Requirements Education - High School Diploma or GED Experience - <2 years Preferred Requirements Education - Associate's Degree Experience - 2-5 years Supervisor Experience - No Experience Licenses & Certifications - CHAA - Benefits and Legal Statement BJC Total Rewards At BJC we&rsquo;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 - Annual 4% BJC Automatic Retirement Contribution - 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 our Benefits Summary. *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

• Handle inbound and outbound calls for healthcare clients • Schedule and reschedule appointments • Verify patient information and assist based on client protocols • Ensure HIPAA compliance and maintain high standards of customer service

• Receive inbound calls, faxes, and web requests from providers and/or clients • Initiate and facilitate the authorization process in accordance with established health plan policies and procedures • Document demographic information obtained from telephonic, fax, or emailed requests within the care management system • Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review • Screen inquiries to determine the services that require certification at the time of the inquiry • Obtain clinical information and forward the caller to the clinical staff for completion of the review • Provide certification based upon scripted clinical algorithms or benchmark Length of Stay • Collaborate and effectively communicate with internal and external partners • Stay up to date on Summary Plan Documents and other related resources related to service requests • Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met • Performs other related duties as assigned by supervisor.

• Conduct monthly Chronic Care Management (CCM) calls to assess patient health status and provide patient education • Perform medication reconciliations and identify barriers to care adherence • Assist with health risk assessments, remote patient monitoring, and transitional care management activities • Accurately document all patient interactions within Electronic Health Record (EHR) systems • Collaborate with providers and clinic staff to support individualized patient care plans • Connect patients with appropriate community resources and support services • Maintain HIPAA compliance and patient confidentiality at all times • Independently manage schedules, patient outreach, and productivity goals