HHSM - Patient Access Representative

Vail Health • Vail, CO

133d • $20 - $24

About The Position

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. This PRN (as needed) position will support our clinics from Vail to Gypsum, depending on the shift.

Requirements

• Customer service and clerical experience.
• Must possess, or be able to obtain within 90 days, the computer 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.

Responsibilities

• 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.
• Communicates effectively with patients to assist in access to care by answering telephone and other incoming communications in a timely and customer-service oriented manner.
• Replies to inquiries, patient needs for information, and other parties clearly and in a timely manner; follows up with inquiries to responsible party if information is not readily available.
• Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person.
• 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.
• 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.
• Establishes files, maintains information, and scans medical records in a timely and organized manner.
• Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls and forwards queries to the appropriate staff.
• Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.
• Attends and provides feedback for departmental staff meetings.
• Follows the Center for Medicare & Medicare Services (CMS) requirements for checking medical necessity and 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.
• Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services (CMS) standards.
• Role Models the Principals of a Just Culture and Organizational Values.
• Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.
• Performs other duties as assigned on department and organizational-level.

Benefits

• Competitive wages.
• Parental leave (4 weeks paid).
• Housing programs.
• Childcare reimbursement.
• Comprehensive Health Benefits: Medical, Dental, Vision.
• 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.
• 403(b) Retirement plan with immediate matching.
• Life insurance.
• Short and long-term disability.
• Up to $1,000 annual wellbeing reimbursement.
• Recreation discounts.
• Pet insurance.

What This Job Offers

• Industry: Ambulatory Health Care Services