Patient Access Representative- Avon Urgent Care

Vail Health • Avon, CO

269d • $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. The position is 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. The role also involves performing administrative functions, scheduling, answering phones, and coordinating general requests.

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.
• 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.
• Collects 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.
• Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person.
• Performs ongoing documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare.
• 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 including mail, email, faxes, and telephone calls.
• 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 CMS standards.
• Role Models the Principles of a Just Culture and Organizational Values.
• Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements.

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