REP,CENTRALIZED SCHEDULING RCM

The Centralized Scheduling 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 Centralized Scheduling Representative will facilitate all components of the patients' entrance into any BJC facility.

This position will require a high level of emotional intelligence, professionalism and making a personal connection.

The patient experiences vary broadly based on their medical needs and accuity.

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 verficiation and point of service collection.

Selecting the correct patient from the master person index (MPI) is critical to patient safety, as well as ensuring a high-level of accuracy when selecting the test to be scheduled.

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.

• Utilize critical thinking skills to assess and respond to a variety of situations, anticipating patients' needs and being able to respond to them. Attention to detail is essential to ensure accurate patient records and scheduled services. Communicate in a professional, positive, and patient-focused manner with all patients, families, provider offices, and co-workers 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.
• 'The responsibilities of this position include hospital pre- registration and scheduling within multiple BJC systems, and across multiple BJC hospitals. Assures proper patient identification, pre-registers (to include validation of patient demographics and insurance verification), schedules test according to order on file (when available) in a fast paced environment. 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. Coordinate the proficient scheduling of appointments to best meet the patient and department needs.'
• 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. This position requires a higher level of independent thinking in order to solve complex issues.
• 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.

• High School Diploma or GED

• <2 years

• Associate's Degree

• CHAA

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

• 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