Patient Access Representative

About the role

Vail Health seeks a Patient Registration Specialist to join our team. Reporting to the Director of Patient Services, this position is responsible for patient registration, admissions, and associated tasks.

Responsibilities

• 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, following up with inquiries to responsible party.
• Solves 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 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.
• Follows 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 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.

Requirements

• Customer service and clerical experience.
• No licenses or certifications required.
• Must have working knowledge of the English language, including reading, writing, and speaking English.

Qualifications

• No formal education required.

Skills

• Excellent communication skills.
• Ability to multitask and prioritize tasks.
• Knowledge of medical terminology and coding systems.
• Basic computer skills, including proficiency with Microsoft Office.

Benefits

• Competitive wages and family benefits.
• Comprehensive health benefits, including medical, dental, vision, and life insurance.
• Retirement and supplemental insurance plans.
• Up to five weeks of paid time off in the first year, increasing annually.
• Existing student loan repayment program.
• Tuition assistance.
• Wellness and recreation benefits.

Pay

Pay is based upon relevant education and experience per hour, ranging from $20.67 to $24.37 USD hourly.