Patient Access Representative - Vail

Vail Health; Vail (CO); On-site; USD 29,000 - 33,000; Full time

Benefits offered by this job

Competitive wages

Parental leave (4 weeks paid)

Housing programs

Childcare reimbursement

Medical benefits

Dental benefits

Vision benefits

Tuition Assistance

Existing Student Loan Repayment

Specialty Certification Reimbursement

Annual Supplemental Educational Funds

Paid Time Off

Job summary

Vail Health is seeking a dedicated professional to handle patient registration, admissions, and related tasks in a hospital setting. You will verify information, collect payments, and coordinate scheduling while maintaining exceptional patient service and compliance with HIPAA and CMS requirements.

The role emphasizes clear communication with patients, accurate documentation, and efficient front desk operations within a high-quality healthcare environment at Vail Health.

Qualifications

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

Responsibilities

• Registers patients and handles all registration-related tasks, including consents and collecting financial paperwork.
• Answer phones and respond to inquiries promptly with a customer-service orientation.
• Resolve non-clinical questions within scope and provide excellent service.
• Audit documentation for medical necessity and payor requirements (e.g., CMS).
• Schedule procedures and educate patients on pre/post-exam requirements when applicable.
• Organize and maintain patient files and scan records timely.
• Manage office correspondence and route queries to appropriate staff.
• Monitor and order front desk supplies for cost efficiency.
• Attend departmental staff meetings and ensure CMS and HIPAA compliance.

Skills

Customer service

Clerical tasks

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.

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)

• N/A

Certification(s)

• N/A

Must have working knowledge of the English language, including reading, writing, and speaking English.

Education

• N/A

Benefits At Vail Health Include

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement
• Comprehensive Health Benefits:
  • Medical
  • Dental
  • 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.

Hourly Pay:: $20.67 USD - $24.37 USD