HHSM Patient Access Representative, PRN Pool

Vail Health; Frisco (CO); On-site; USD 19,000 - 33,000; Full time

Benefits offered by this job

PRN differential

Wellbeing reimbursement funds

403(b) contribution eligibility

Job summary

Vail Health is seeking a patient access specialist to register and admit patients, verify insurance, obtain consents, and collect co-pays in a fast-paced hospital setting.

This PRN/Pool position offers a 16% PRN differential and hourly pay, with duties including answering phones, scheduling, auditing documentation, and ensuring HIPAA compliance.

Qualifications

• Customer service and clerical experience required.
• Must have working knowledge of English (reading, writing, speaking).

Responsibilities

• Registers patients and handles all registration tasks, including consents and co-pay collection.
• Communicates with patients to facilitate access to care via phone and in person.
• Answers non-clinical questions with excellent customer service.
• Performs documentation audits for medical necessity and care plans for payors (e.g., Medicare).
• Schedules procedures and educates patients on pre/post exam requirements.
• Maintains and scans medical records in an organized manner.
• Manages incoming correspondence and forwards queries to staff.
• Monitors and orders front desk supplies to control costs.
• Attends departmental meetings and provides feedback.
• Follows CMS requirements for coverage/eligibility and ABN notices; maintains eligibility records.
• Completes Medicare Secondary Payer Questionnaire per CMS standards.
• Models Just Culture and organizational values; ensures HIPAA/ EMTLA and Joint Commission compliance.
• Performs other duties as assigned.

Skills

Customer service

Clerical experience

Job description

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.

This position is PRN/Pool or as needed. Hours and shifts are not guaranteed. Eligible for 16% PRN Differential.

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.

Experience

What you will need:

• 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

PRN (POOL) benefits include: Wellbeing reimbursement funds and 403(b) contribution eligibility.

#HHSM

Pay is based upon relevant education and experience per hour.

Hourly Pay:: $20.67 USD - $24.25 USD