Patient Access & HIM Representative Surgery Center

Howard Head; Colorado; On-site; USD 29,000 - 35,000; Full time

Benefits offered by this job

Competitive wages

Parental leave

Housing programs

Childcare reimbursement

Medical

Vision

Tuition assistance

Student loan repayment

Certification reimbursement

Educational funds

Paid time off

403(b) retirement plan

Life insurance

Disability insurance

Wellbeing reimbursement

Recreation discounts

Pet insurance

Job summary

Howard Head Sports Medicine is seeking a Patient Access & HIM Representative at the Vail Valley Surgery Center in Dillon, CO. The role is full-time with year-round days and involves patient registration, admissions, and medical records management.

The position requires strong customer service and clerical experience, with responsibilities spanning insurance tasks, CMS guidelines, and maintaining organized records. Benefits and pay are competitive for the Colorado market.

Qualifications

• Customer service and clerical experience

Responsibilities

• Registers patients and handles registration tasks including consents and paperwork.
• Communicates with patients by phone and in person to assist access to care and answer inquiries.
• Resolves non-clinical questions with excellent customer service.
• Performs documentation audits for medical necessity, plans of care, and payer requirements.

Skills

Customer service

Clerical tasks

Job description

Explore job opportunities at Howard Head Sports Medicine.

Patient Access & HIM Representative Surgery Center

New

Schedule

Schedule Full-time year-round Shift Days

Details

Company Vail Valley Surgery Center Location Dillon, CO Category Administrative/Clerical Clinical No Close Date November 27, 2026

Pay

Hourly $21.32 – $25.40 USD

About the opportunity:

This role is responsible for patient registration, admissions, and insurance related tasks. The Patient Access/HIM Representative is also responsible for the assembly, maintenance, and storage of medical records.

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.
• 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.
• 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.
• Accurately maintains the predetermined, organized and secured record format. Arranges the scanning of medical records and verifies completeness.
• Required to inform physicians of signed documentation delinquency according to policy and procedures.
• Communicates nursing documentation deficiencies to clinical management.
• Receives and logs requests for medical information and obtains appropriate releases before filling medical record requests.
• Assists management with month-end closing procedures. Prepares and/or reviews various month end reports.
• Assists the clinical staff with the collection and coordination of data such as blood usage, surgery complications, etc. that are included in the medical record review process.
• Receives requests for records to be reviewed by external auditors, compiles copies and/or sets up queue for these encounters to be reviewed. Validates that no restrictions apply to the encounters requested. Keeps Director informed of the status of project preparation. Mails or sends the copies in accordance with the requestor’s instructions.
• 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. Must be HIPAA compliant.

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

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:
  • Annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance

Pay is based upon relevant education and experience per hour.