Patient Access Representative Jobs

To us, it's about living life to the fullest while serving our patients, teammates, neighbors and friends. We are dedicated and passionate in everything we do, seeking challenge and appreciating the routes that got us here. Whether our path is clinical or not, we all came to find balance and meaning in our lives within the work we are passionate about and the adventures we live.

Vail Health has become the world’s most advanced mountain healthcare system. Our updated 520,000-square-foot hospital opened in December 2020. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail.

Some roles may be based outside of our Colorado office (as stated in the Job Title). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.

About The Opportunity

Responsible for patient registration, admissions, and associated tasks which include information collection and validation, and requisitioning of orders and services. Insurance-related tasks include: verification, collection of co-payments, and collection of associated paperwork. Performs administrative functions, scheduling, answering phones, and coordinating general requests.

What You Will Do

• Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services (CMS) standards
• Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person.
• Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.
• Role Models the Principals of a Just Culture and Organizational Values.
• Performs other duties as assigned on department and organizational-level.
• Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, and collecting financial paperwork (e.g., patient responsibility statement, etc.) and co-payment as required.
• Establishes files, maintains information, and scans medical records in a timely and organized manner.
• If in a procedure-based department, routinely schedules appointments for all procedures educating each patient with pre-exam and if necessary, post-exam requirements within scope. Organizes, generates and distributes patient reminders, results, and recall letters.
• Attends and provides feedback for departmental staff meetings.
• Communicates effectively with patient to assist in access to care by: answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner; and, if information is not readily available, follows up with inquiries to responsible party.
• Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.
• Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls and forward queries to the appropriate staff.
• Performs on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems.
• Follow the Center for Medicare & Medicare Services (CMS) requirements for checking medical necessity communicates relevant coverage/eligibility information to the patient. Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate records of authorizations within the EMR.

This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Experience

What you will need:

• Customer service and clerical experience

License(s)

• N/A

Certification(s)

• N/A

Computer / Typing

• Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Must have working knowledge of the English language, including reading, writing, and speaking English.

Education

• N/A

Pay Range

Pay is based upon relevant education and experience.

$20.67—$24.25 USD

Benefits At Vail Health (Full And Part Time) Include

• Life insurance
• Childcare reimbursement
• Medical
• Existing Student Loan Repayment
• Up to five weeks in your first year of employment and continues to grow each year.
• Competitive wages
• Annual Supplemental Educational Funds
• Paid Time Off:
• Short and long-term disability
• Competitive Wages & Family Benefits:
• Educational Programs:
• Retirement & Supplemental Insurance:
• Recreation discounts
• Comprehensive Health Benefits:
• Tuition Assistance
• Up to $1,000 annual wellbeing reimbursement
• Dental
• Housing programs
• Parental leave (4 weeks paid)
• Recreation Benefits, Wellness & More:
• 403(b) Retirement plan with immediate matching
• Specialty Certification Reimbursement
• Vision
• Pet insurance

PRN (POOL) benefits include: Wellbeing reimbursement funds and 403(b) contribution eligibility