Shaw Cancer Center- Patient Access Representative

Vail Health; Edwards (CO); On-site; USD 28,000 - 33,000; Full time

Benefits offered by this job

Competitive wages

Parental leave (4 weeks paid)

Housing programs

Childcare reimbursement

Medical insurance

Dental insurance

Vision insurance

Tuition Assistance

Job summary

Vail Health, a leading mountain healthcare system, seeks a patient services professional responsible for registration, admissions, and related tasks. You will verify information, collect payments, and coordinate scheduling to ensure smooth patient flow and accurate records.

The role emphasizes customer service, compliance with CMS and HIPAA, and collaboration with care teams in a full-time hospital environment in Edwards, Colorado.

Qualifications

• Customer service and clerical experience

Responsibilities

• Registers patients and performs all registration-related functions, including obtaining consents and collecting financial paperwork.
• Answers phones and other inquiries promptly with a customer-service mindset; follows up as needed.
• Resolve non-clinical questions within scope while maintaining excellent service.
• Perform audits for medical necessity, plan of care, and payor requirements.
• Schedule procedures and educate patients on pre-/post-exam requirements when applicable.
• Maintain and organize patient files and scans in EMR.
• Handle mail, email, faxes, and calls and route to appropriate staff.
• Monitor and order front desk supplies to control costs.
• Participate in departmental staff meetings and provide feedback.
• Communicate CMS coverage/eligibility information to patients and identify ABN needs.
• Complete Medicare Beneficiary questionnaires per CMS standards.
• Model Just Culture and organizational values; ensure HIPAA/EMTLA/Joint Commission compliance.

Skills

Customer service

Education

N/A

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

Education

• N/A

License(s) And Certification(s)

• N/A

Benefits At Vail Health (Full Time) 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