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Patient Access Representative

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. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital.  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. 

In addition to the hospital, Vail Health has many access points including:

  • Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopedic partners at The Steadman Clinic and Vail-Summit Orthopedics & Neurosurgery.
  • Vail Health also owns interest in multiple joint venture ambulatory surgery centers (ASCs) throughout the region.
  • Colorado Mountain Medical, Beaver Creek Medical Center, urgent care clinics in Vail, Dillon, Avon and Eagle, Edwards medical campus and Eagle Healthcare Center.
  • The Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. 
  • Vail Health is also leading the way in serving our communities’ behavioral health needs with outpatient behavioral health services at the Edwards Community Health Campus, and the Precourt Healing Center, a 28-bed in-patient behavioral health facility, opening in 2025.
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. 

This is a part-time role with a schedule of 5 X 4 shifts.

What you will do:
  1. 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.
  2. 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.
  3. Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person.
  4. 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.
  5. 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.
  6. Establishes files, maintains information, and scans medical records in a timely and organized manner.
  7. 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.
  8. Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.
  9. Attends and provides feedback for departmental staff meetings.
  10. 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.
  11. Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services (CMS) standards
  12. Role Models the Principals of a Just Culture and Organizational Values.
  13. Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.
  14. Performs other duties as assigned on department and organizational-level.
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.
 
What you will need:
 
Experience:
  • 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

 

Application Close Date: Applications will be accepted on an ongoing basis for this position. 

 

 

 

Benefits at Vail Health (Full and Part Time) Include:

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

 

Pay is based upon relevant education and experience per hour.

Hourly Pay:
$20.67$24.25 USD

Some roles may be based outside of our Colorado office (remote-only positions). 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.

Relocation and housing assistance may be available.

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