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Vail Health Hospital

Howard Head Patient Access Representative

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeVail, CO, USAIn-person

About the Job

Requirements

  • Customer service and clerical experience.
  • Working knowledge of English, including reading, writing, and speaking.

Responsibilities

  • Register patients and complete registration-related functions, including explaining and obtaining consents and authorizations and collecting required financial paperwork and co-payments.
  • Answer telephone and other incoming communications promptly; respond clearly and promptly to inquiries and information needs, and follow up with the responsible party when information is not readily available.
  • Resolve non-clinical questions within scope of knowledge while providing customer service by phone and in person.
  • Audit documentation for medical necessity, plans of care, and payer requirements, including Medicare, using computer-based systems.
  • In procedure-based departments, schedule procedures, educate patients on pre-exam and applicable post-exam requirements, and organize, generate, and distribute reminders, results, and recall letters.
  • Establish files, maintain information, and scan medical records in an organized and timely manner.
  • Manage, direct, and respond to office correspondence, including mail, email, faxes, and telephone calls, and forward queries to appropriate staff.
  • Organize, monitor, and order front desk supplies to support cost-effective departmental spending.
  • Attend departmental staff meetings and provide feedback.
  • Follow Centers for Medicare & Medicaid Services requirements for medical-necessity checks and communicate coverage and eligibility information to patients; identify patients needing Medicare Advance Beneficiary Notices of non-coverage and maintain accurate authorization records in the electronic medical record.
  • Complete Medicare Secondary Payer Questionnaires for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services standards.
  • Model the principles of a Just Culture and organizational values.
  • Comply with applicable HIPAA, EMTALA, and Joint Commission requirements and provide required literature to patients.
  • Perform other duties as assigned at the department and organizational levels.

About the Company

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