HHSM - Patient Access Representative
HHSM - Patient Access Representative
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Job Description
Vail Health has become the worlds most advanced mountain healthcare system. Vail Health consists of an updated 520000squarefoot 56bed hospital. This stateoftheart 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.
Responsible for patient registration admissions and associated tasks which include information collection and validation and requisitioning of orders and services. Insurancerelated tasks include: verification collection of copayments and collection of associated paperwork. Performs administrative functions scheduling answering phones and coordinating general requests.
Schedule Details: This role will primarily involve working between our Edwards and Vail locations. There is an option for either a 4day work week with 10hour shifts or a 5day work week with 8hour shifts. Please note that working on Saturdays is required.
- Registers patients and performs all registrationrelated 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 copayment as required.
- Communicates effectively with patient to assist in access to care by: answering telephone and other incoming communications in a timely and customerservice 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 nonclinical 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 computerbased systems.
- If in a procedurebased department routinely schedules appointments for all procedures educating each patient with preexam and if necessary postexam 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 noncoverage 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 organizationallevel.
- Customer service and clerical experience
- N/A
- N/A
- Must possess or be able to obtain within 90 days the computers skills necessary to complete online learning requirements for jobspecific competencies access online forms and policies complete online benefits enrollment etc.
- 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 longterm disability
- Recreation Benefits Wellness & More:
- Up to $1000 annual wellbeing reimbursement
- Recreation discounts
- Pet insurance
Pay is based upon relevant education and experience per hour.
Hourly Pay:
$20.67 $24.25 USD
Required Experience:
Unclear Seniority
Employment Type
Full-Time
