- Shifts: Days
- Scheduled Weekly Hours: PRN
- Company: Howard Head Sports Medicine
- Location: 200 Robinson Street Basalt
- Office: Basalt
- Department: HHB
- Salary Range: $20.67 - $24.25
- Estimated Application Close Date (actual date may be sooner): 02-28-2025
HHSM Patient Access Representative, PRN Pool
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.
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 patients 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 the responsible party.
- 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, 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 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 Principles 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.
What you will need:
Experience:
- Customer service and clerical experience.
License(s):
Certification(s):
Computer / Typing:
- 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.
Education:
Application Close Date: Application will be accepted on an ongoing basis.
Benefits at Vail Health (Full and Part Time) 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.