Patient Access Coordinator

5 days ago


Vail, Colorado, United States Vail Health Hospital Full time
About the Opportunity

Vail Health Hospital is seeking a highly skilled and detail-oriented Patient Access Representative to join our team. As a Patient Access Representative, you will play a critical role in ensuring that patients receive exceptional care and service from the moment they arrive at our hospital.

Key Responsibilities
  1. Registration and Scheduling: 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.
  2. Communication and Customer Service: 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; replies 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.
  3. Documentation and Audits: 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.
  4. Procedure Scheduling and Coordination: 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.
  5. File Management and Organization: Establishes files, maintains information, and scans medical records in a timely and organized manner.
  6. Correspondence and Supply Management: 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.
  7. Compliance and Quality Assurance: Follows 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.
  8. Professional Development and Teamwork: Attends and provides feedback for departmental staff meetings. 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.

This is a seasonal position (October - April) that offers the opportunity to work in a fast-paced and dynamic environment with a team of dedicated healthcare professionals. As a Patient Access Representative, you will have the chance to make a meaningful contribution to the delivery of exceptional patient care and service.



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