BJC HealthCare

Contact payors, work claims, file appeals, review insurance verifications, resolve complex accounts, and mentor junior staff to ensure timely collection and resolution of patient accounts. | High school diploma or GED with 2-5 years of experience in insurance collections, claims processing, and billing resolution. | Additional Information About The Role BJC HealthCare is seeking a Patient Accounts Representative II to join our team! In this role, you will be contacting payors, working claims, and filing appeals to collect the money from insurance companies to get them to pay on the claims. Overview 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 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 Preferred Requirements Experience • 2-5 years 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 • 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

Provide direct patient care including assessment, planning, implementation, and evaluation, focusing on acute medical patients and delivering education/support virtually. | Must have RN licensure, recent bedside acute medical experience, and ability to work onsite night shifts. | Additional Information About the Role Position Highlights • * $7,500 Sign On Bonus eligible* • Part time position • (2) 12 Hour Night Shifts - 6:00 pm to 6:30 am • Located at BJC Commons • Minimum of 2 -5 plus years of RN experience needed • Recent bedside RN experience in Acute Med/ Med Surg needed  We are seeking Virtual RNs to join our team growing team! This part time role is onsite (not remote) and requires the ability to adapt and learn new systems and processes. The ideal candidate is a strong communicator, maintains a positive attitude and is comfortable using technology. Recent bedside acute medical experience needed. Expect to complete high volume of admissions and discharges accurately and efficiently and deliver patient education/support through virtual platforms.   Overview Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care.  Responsibilities • Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. • Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. • Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. • Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. • 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 • Nursing Diploma/Associate's - Nursing Experience • No Experience Supervisor Experience • No Experience Licenses & Certifications • RN Preferred Requirements Education • Bachelor's Degree - Nursing Experience • <2 years 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 • 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

Register and schedule patients for outpatient therapy services, verify insurance and benefits, collect payments, and ensure accurate patient records and compliance. | High school diploma or GED, less than 2 years experience preferred but 2-5 years acceptable, strong communication skills, knowledge of insurance and Medicare guidelines, and ability to use EPIC system. | Additional Information About the Role BJC HealthCare is seeking a PRN Patient Access Representative at Northwest Outpatient Therapy location for outpatient physical, occupational, and speech therapy! In this role you will be scheduling at a high volume within EPIC. Experience in patient scheduling is highly prefered! • * Hours: PRN- covering as needed for PTO and vacation. Between 6 am-6 PM M-F. Hours will vary depending on needs of the business. • No weekends and holidays Overview Christian Hospital has been serving St. Louis and the surrounding metro areas since 1903. U.S. News & World Report ranks Christian Hospital No. 5 in St. Louis for overall clinical excellence and No. 9 in Missouri, which puts us in the top 6% of all hospitals in the state! The U.S. News adult methodology ranks clinical specialties and rates common care procedures and conditions. Christian was nationally ranked as “high performing” in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke. High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition. Northwest HealthCare, six miles west of Christian, offers 24- hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services. This department supports the administrative functions including, but not limited to, registration, scheduling, insurance verification, and charging for the outpatient clinical rehabilitation departments at Graham Medical Center (PT, OT, Speech and Day Rehab). Staff include office assistants, a supervisor and manager. 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’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

Perform patient check-ins, appointment scheduling, insurance verification, payment collection, data entry of service charges, and coordinate with billing office. | High school diploma or GED with 2-5 years of experience in patient services, insurance verification, and front office duties. | Additional Information About the Role Come join our team as a full-time Patient Service Representative with BJC Medical Group in Neurology located in St. Peters, this is a rare opportunity to join a great team! • Outpatient • 40-Hours per week • Day Shift • Benefit Eligible • NO CALL, NO WEEKENDS, NO HOLIDAYS Overview BJC Medical Group is the multi-specialty physician organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with the top-ranked hospitals in the area. Since 1994, BJC Medical Group has provided access to the world’s best medicine through caring people and integrated systems. The providers are nationally recognized for excellent patient satisfaction and quality health care. BJC Medical Group physicians are trained and certified in over 25 medical specialties and serve patients in more than 125 locations in the greater St. Louis, mid-Missouri and southern Illinois areas. Preferred Qualifications Role Purpose The Patient Services Representative acts as the initial point of contact for front office activity and helps directs the patient flow process at the physician office. This position performs patient check-ins and appointment scheduling. This position also maintains patient financial records and may serve as a switchboard operator as needed. Responsibilities • Handles telephone calls from patients and staff; forwards calls requiring triage. • Performs receptionist duties with close attention to detail and professionalism. • Verifies health insurance payment information and educates patients on the applicable regulations; collects payments and records data. • Performs data entry of service charges, to include the assignment of diagnostic codes and the entering of all physician and clinic related charges. • Coordinates information with Central Billing Office to ensure all charges are captured and properly collected. Minimum Requirements Education • High School Diploma or GED Experience • 2-5 years 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 • 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 Qualifications: Role Purpose The Patient Services Representative acts as the initial point of contact for front office activity and helps directs the patient flow process at the physician office. This position performs patient check-ins and appointment scheduling. This position also maintains patient financial records and may serve as a switchboard operator as needed. Responsibilities • Handles telephone calls from patients and staff; forwards calls requiring triage. • Performs receptionist duties with close attention to detail and professionalism. • Verifies health insurance payment information and educates patients on the applicable regulations; collects payments and records data. • Performs data entry of service charges, to include the assignment of diagnostic codes and the entering of all physician and clinic related charges. • Coordinates information with Central Billing Office to ensure all charges are captured and properly collected. Minimum Requirements Education • High School Diploma or GED Experience • 2-5 yearsEducation:UNAVAILABLEEmployment Type: FULL_TIME