Patient Access Representative

Vail Health Inc; Colorado; On-site; USD 60,000 - 80,000; Full time

Job summary

Join a leading healthcare provider in a dynamic role focused on patient registration and admissions. This position involves ensuring a smooth patient experience by handling registrations, answering inquiries, and managing documentation. With a commitment to exceptional care, the organization offers a supportive environment and a range of benefits. If you have a passion for customer service and administrative functions, this opportunity is perfect for you. Embrace the chance to contribute to a healthcare system that values quality and community well-being.

Benefits

Parental leave (4 weeks paid)

Housing programs

Childcare reimbursement

Tuition Assistance

Student Loan Repayment

Specialty Certification Reimbursement

Annual Supplemental Educational Funds

Up to five weeks paid time off

403(b) Retirement plan with immediate matching

Wellbeing reimbursement up to $1,000

Qualifications

• Experience in customer service and clerical roles is essential.
• Must be able to obtain necessary computer skills within 90 days.

Responsibilities

• Responsible for patient registration and admissions tasks.
• Communicates effectively with patients and resolves non-clinical questions.
• Performs ongoing documentation audits and manages office correspondence.

Skills

Customer service

Clerical experience

Computer skills

English language proficiency

Job description

• Shifts: Days
• Scheduled Weekly Hours: 5 x 8 hour shifts
• Salary Range: $20.67 - $24.37
• Estimated Application Close Date (actual date may be sooner): 05-30-2025

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 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 & Medicaid 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.

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 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:

• N/A

Benefits at Vail Health (Full 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.