Vail Valley Surgery Center Patient Access Representative | Edwards

Howard Head; Edwards, Northern (CO, KY); Hybrid; USD 59,229,000 - 69,831,000; Full time

Benefits offered by this job

Competitive wages

Parental leave

Housing programs

Childcare reimbursement

Tuition Assistance

Annual supplemental educational funds

Paid Time Off

403(b) retirement plan

Life insurance

Wellness reimbursement

Pet insurance

Job summary

Vail Valley Surgery Center in Edwards, CO is seeking a Patient Access Representative to support registration, admissions, and related tasks. The role involves verifying information, collecting co-pays, and coordinating front-desk activities to ensure smooth patient access to care.

Responsibilities include patient registration, insurance verification, handling inquiries, scheduling procedures, and maintaining organized medical records, while complying with CMS, HIPAA, and Joint Commission

Qualifications

• Customer service and clerical experience

Responsibilities

• Registers patients and handles registration-related tasks including consents and paperwork
• Answer phones and respond to inquiries with a customer-service approach
• Resolve non-clinical questions within scope while maintaining service quality
• Document audits for medical necessity, plan of care, and payor requirements
• Schedule procedures, manage reminders, results and recalls
• Organize and scan medical records in a timely manner
• Handle mail, email, faxes, and calls and route to appropriate staff
• Manage front desk supplies and participate in staff meetings
• Follow CMS requirements for coverage information and ABNs, and Medicare questionnaires
• Model Just Culture and organizational values; ensure HIPAA, EMTLA and Joint Commission compliance
• Perform other duties as assigned

Skills

Customer service

Clerical experience

Job description

Explore job opportunities at Howard Head Sports Medicine.

7145 VVSC Edwards Patient Access

Vail Valley Surgery Center Patient Access Representative | Edwards

Vail Valley Surgery Center Patient Access Representative | Edwards

New

Schedule

Schedule Full-time year-round Shift Days

Details

Company Vail Valley Surgery Center Location Edwards, CO Category Administrative/Clerical Clinical No Close Date October 30, 2026

Pay

Hourly $20.67 – $24.37 USD

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.

What you will need:

Experience:

• Customer service and clerical experience

License(s) & 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 (Full and Part 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.