HHSM – Patient Access Representative

Vail Health Behavioral Health; Vail (CO); On-site; USD 28,000 - 33,000; Full time

Benefits offered by this job

Competitive wages

Parental leave

Housing programs

Childcare reimbursement

Medical

Vision

Tuition assistance

Student loan repayment

Specialty certification reimbursement

Annual educational funds

Paid time off (PTO)

403(b) retirement plan with match

Life insurance

Short and long-term disability

Wellbeing reimbursement up to $1000

Recreation discounts

Pet insurance

Job summary

Vail Health is seeking a Patient Access Representative to join the HHSM team in Vail, CO. The position is full-time year-round with daytime shifts, focusing on patient registration, insurance verification, and front-desk duties.

Responsibilities include handling calls, collecting co-pays, coordinating with departments, and ensuring accurate medical records, while complying with CMS and HIPAA requirements. Training will be provided to handle required software and workflows.

Qualifications

• Customer service and clerical experience.
• Must possess, or be able to obtain within 90 days, basic computer skills to complete online learning, forms and enrollment tasks.

Responsibilities

• Registers patients and completes registration-related tasks, obtaining consents and authorizations and collecting financial paperwork.
• Communicates with patients to facilitate access to care via phone and in person; answers inquiries promptly and clearly.
• Resolves non-clinical questions while delivering excellent customer service.
• Performs documentation audits for medical necessity and payor requirements using EMR systems.
• Schedules procedures, educates patients on pre/post-exam requirements and sends reminders.
• Organizes and scans medical records; manages mail, email, faxes and phone inquiries.
• Manages front desk supplies and participates in staff meetings.
• Complies with CMS requirements and HIPAA, EMTALA, Joint Commission standards.

Skills

Customer service & clerical experience

Job description

Explore job opportunities at Vail Health

7100 Howard Head Sports Center-Vail

HHSM – Patient Access Representative

Schedule

Schedule Full-time year-round Shift Days

Details

Company Howard Head Sports Medicine Location Vail, CO Category Administrative/Clerical Clinical No Close Date November 6, 2026

Pay

Hourly $20.67 – $24.25 USD

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. Learn more about Vail Health here .

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):

• 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

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.