Behavioral Health Patient Access Representative II

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 Healthhere.

This position is responsible for patient-facing registration and associated tasks which include information collection, validation, and requisitioning of orders and services. Insurance-related tasks include verification, collection of co-payments, and associated paperwork. This role performs administrative functions, scheduling, answering phones, and coordinating general requests.

This role is a hybrid role, working onsite each Friday and onsite coverage as needed but remote the rest of the days.

• 1. Obtains and verifies patient information for registration. 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., insurance card, patient responsibility statement, etc.) and co-payment as required. Consistently demonstrates dedication to customer service by meeting patient’s needs in a flexible and responsible manner.
  2. Communicates effectively with patients, providers, and colleagues in person and by email, telephone, fax, and Microsoft teams in a clear, timely and customer-service oriented manner. Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person.
  3. Requests payment of financial responsibility from patient/guarantor. Refers patients to financial assistance programs when applicable. 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 Electronic Medical Record (EMR). Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries in accordance with CMS standards. 
  4. Establishes files, maintains information, and scans medical records in a timely and organized manner.
  5. Posts monies collected and/or data entry of charge codes to the financial system. May reconcile daily bank bags. 
  6. Supports and participates in all departmental data collection, analysis, and reporting efforts as required by internal and external compliance regulations. 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. 
  7. Works in various patient settings and locations in Edwards and Frisco, and at times remote.
  8. Attends and provides feedback for departmental staff meetings. Helps to train and educate new staff.
  9. Models the principles of a Just Culture and Organizational Values.
  10. Performs other duties as assigned. Must be HIPAA compliant.

• Experience in behavioral health, healthcare, previous admitting, clerical, customer service, or hospitality, preferred.
• Knowledge of community resources, preferred.

• Course work in Medical Terminology, preferred.

Benefits at Vail Health (Full Time) 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 long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance

Pay is based upon relevant education and experience per hour.