Patient Access Rep - Quality

Additional Information About the Role Monday – Friday 8 hour Day shift WFH Must have Proficient in knowledge of insurance and data elements required for a patient registration. Available as an immediate resource during scheduling and registration.

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 Performs registration reporting functions including reconciliation of daily hospital census, level of care and SMS patient type for accurate charging and volume reports. Works with other departments to research, analyze, and take appropriate actions to resolve discrepancies in data that is critical to financial and statistical accuracy. Responsible for systems and error control for all registrations including identification of system errors as they occur. May publish monthly Summary Quality Reports.

Responsibilities

Coordinates activities, reports and documents that ensures regulatory and accreditation compliance. Resolves discrepancies in registration data through review of reports, worklists and communication from departments, including Enterprise Coding, Revenue Management and Case Management. Perform quality audits to monitor integrity of data obtained during the registration process. Reviews patient status changes moving from inpatient to outpatient. Proficient in knowledge of insurance and data elements required for a patient registration. Available as an immediate resource during scheduling and registration. Communicates in a professional, positive and respectful manner with all departments. Implements and monitors in-service training programs for quality assurance purposes in technical areas. Analyzes error data and prepares written reports for leadership. Minimum Requirements Education High School Diploma or GED Experience 2-5 years Supervisor Experience No Experience Preferred Requirements Education Associate or Trade School Equi 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