HHSM - Patient Access Representative

Vail-Health-Hospital; Edwards (CO); On-site; USD 29,000 - 33,000; Full time

Benefits offered by this job

Competitive wages

Parental leave

Housing programs

Childcare reimbursement

Tuition Assistance

Job summary

Vail Health invites applications for the HHSM – Patient Access Representative in Edwards, CO. This full-time, day-shift role involves patient registration, admissions, and related administrative tasks at Howard Head Sports Medicine.

The position emphasizes customer service, insurance verification, and coordination of care, with a strong focus on HIPAA compliance and CMS guidelines. Competitive hourly pay and comprehensive benefits are provided.

Qualifications

• Customer service and clerical experience required.
• English proficiency required.

Responsibilities

• Registers patients and handles registration-related tasks, including obtaining consents and collecting financial paperwork and co-payments.
• Communicates with patients by phone and in person to facilitate access to care and respond to inquiries in a timely, courteous manner.
• Resolves non-clinical questions within scope while delivering excellent customer service.
• Performs ongoing documentation audits for medical necessity, plan of care, and payor requirements.
• Schedules procedures, provides pre/post-exam instructions, and distributes reminders and recalls.
• Manages files, scans records, and maintains organized information.
• Handles incoming correspondence and forwards queries to appropriate staff.
• Manages front desk supplies and participates in staff meetings.
• Adheres to CMS requirements for eligibility and coverage information; identifies ABN needs and maintains records in the EMR.
• Completes Medicare Secondary Payer questionnaires per CMS standards.
• Models Just Culture and organizational values; ensures HIPAA/ EMTLA and Joint Commission compliance.
• Performs other duties as assigned.

Skills

Customer service

Job description

Explore job opportunities at Vail Health

7103 Howard Head Sports Center-Edwards

HHSM – Patient Access Representative

New

Schedule

Schedule Full-time year-round Shift Days

Details

Company Howard Head Sports Medicine Location Edwards, CO Category Administrative/Clerical Clinical No Close Date October 2, 2026

Pay

Hourly $20.67 – $24.25 USD

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:

• 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 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.
• 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.
• 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.
• 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 forward 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.
• 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.
• 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.

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) & Certification(s):

• N/A

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

Education:

• N/A

Benefits at Vail Health Include:

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement
• Medical
• 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.