BJC Healthcare Pre- Arrival Representative in Saint Louis, Missouri
Your Career. Made Better.
Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.
As part of Patient Financial Services, Patient Registration (Admitting) is located throughout Barnes-Jewish Hospital. In addition to our patients being our customers, we have many other internal and external customers who depend on accuracy and promptness of the data and services we provide. Admitting Office Coordinators act to greet our customers and obtain data, which is then entered into the ADT or similar systems.
To ensure prompt and efficient access to hospital outpatient scheduled services by providing exceptional service to customers during the pre-arrival process. Responsible for completing the necessary data elements in a timely and efficient manner in order to financially clear all patients prior to their scheduled event. Will complete work lists as assigned not only to have acceptable productivity but to do so with quality data entry.
Part of a multi-disciplinary team that supports all aspects around financially clearing patients before their arrival. Members of this team are generally cross-trained into 2 - 5 functions. This team supports mutliple BJC hospital facilites.
Pre-Registration: outbound calls to patients to obtain and verify accurate demographic and insurance information (including MSPQ as required). May also include a pre-admit function in which encounters are created prior to phone calls being performed. In both cases, utilizes multiple systems and all available resources to verify insurance information that was not completed during the pre-registration/scheduling process.
Perform POS Collection functions (primarily in conjunction with the pre-registation process). Using defined worklists patients are contacted with their estimated financial liability and given the option to make payment over the phone before arriving for service.
Reviews providers' orders for key elements and processes/indexes them via an on-line fax program. Orders are compared to the scheduling system and matched with an upcoming patient encounter when appropriate.
Authorizations (ancillary and surgery): Contacts provider offices, payors and/or payor websites to secure and validate authorization information. A review of medical records may be required if initiating the authorization request directly with a payor. Follow up on post review of insurance mismatch.
- High School Diploma or GED
- 2-5 years
Licenses & Certifications
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 with company match- 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
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