Patient Access & HIM Representative Surgery Center

Vail Health Behavioral Health; Colorado; On-site; USD 29,000 - 35,000; Full time

Benefits offered by this job

Competitive wages

Parental leave

Housing programs

Childcare reimbursement

403(b) Retirement plan

Life insurance

Short and long-term disability

Annual wellbeing reimbursement

Job summary

Vail Health is seeking a Patient Access & HIM Representative at the Surgery Center in Dillon, CO. This full-time role handles patient registration, admissions, insurance-related tasks, and the assembly, maintenance, and storage of medical records.

Responsibilities include registering patients, obtaining consents, collecting financial paperwork, coordinating with payors, scheduling procedures when needed, and ensuring HIPAA and CMS compliance.

Qualifications

• Customer service and clerical experience required.

Responsibilities

• Registers patients and handles registration-related tasks, including consents and financial paperwork.
• Answers phones and assists patients with access to care.
• Performs documentation audits for medical necessity and payors.
• Schedules procedures and manages reminders/recall letters.
• Maintains HIPAA and CMS compliance in documentation and records.

Skills

Customer service

Clerical experience

Job description

Explore job opportunities at Vail Health

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.