Vail Health Hospital

HHSM Patient Access Representative - PRN Pool

Clinical Support & Patient AdministrationUpdated on Nov 10

Full-timeFrisco, 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 functions, including explaining and obtaining required patient consents and authorizations and collecting financial paperwork and co-payments.
Respond to patient and other incoming communications promptly, answer inquiries, follow up when information is not readily available, and assist patients in accessing care.
Resolve non-clinical questions within the scope of knowledge while providing customer service by phone and in person.
Conduct ongoing documentation audits for medical necessity, plans of care, and other payer requirements, including Medicare, using computer-based systems.
In procedure-based departments, schedule procedures, educate patients about 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.
Manage 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 checking medical necessity, communicate coverage and eligibility information, identify patients needing Medicare Advance Beneficiary Notices of non-coverage, and maintain 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.

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.

This position is PRN/Pool or as needed. Hours and shifts are not guaranteed. Eligible for 16% PRN Differential.

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):

Must have working knowledge of the English language, including reading, writing, and speaking English.

Education:

PRN (POOL) benefits include: Wellbeing reimbursement funds and 403(b) contribution eligibility.

#HHSM

Pay is based upon relevant education and experience per hour.

Hourly Pay:

$20.67—$24.25 USD

Hourly Pay: 20.67 - 24.25 USD

About the Company

Vail Health Hospital

Company size: Not listed
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: Not listed

Recently Posted Jobs

Explore more opportunities at Vail Health Hospital

See more jobs