1. 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. 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.
3. Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person.
4. 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.
5. 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.
6. Establishes files, maintains information, and scans medical records in a timely and organized manner.
7. 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.
8. Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.
9. Attends and provides feedback for departmental staff meetings.
10. 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.
11. Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services (CMS) standards
12. Role Models the Principals of a Just Culture and Organizational Values.
13. Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.
14. Performs other duties as assigned on department and organizational-level.

• Customer service and clerical experience

• N/A

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

1. Works with providers and clinical staff to obtain complete medical records, primarily for established patients, using the medical records work list / work queue in the EHR. Thoroughly documents progress within the EHR of all tasks, including retrieval of pertinent patient materials. On a daily basis, reviews and rectifies those HIM work assignment queues, uses standard processes and protocols to monitor and follow up with patients, hospitals, medical practices, and other parties on patient records statuses.
2. Facilitates the use of the EHR by capturing paper documentation, properly preparing the paper for scanning, scanning, and indexing documents within 1 hour of receipt. Is able to distinguish document types, operate the scanning unit effectively, and scan all documents to the appropriate patient records and to the appropriate documentation type location with 100% accuracy. Performs QA on scanning done by others, identifies errors by clinical staff, and addresses errors with the clinical staff. Trains staff on proper scanning and indexing of documents.
3. Interacts with providers, clinical staff, and the public (patients, insurers, attorneys, State and Federal agencies, etc.) to accommodate requests for copies of patient information. Understands the release of information policies and associated Federal, State, and Hospital policies. Assists with release of information periodically or when on weekend rotation. Obtains appropriate release request document and verifies patient identity prior to release. Accurately logs releases in hospital logging system. Efficiently prepares copies of requested in paper, CD, PDF, Fax and other approved electronic formats. Accommodates patient and physician requests within same day. Ensures only the minimum necessary is disclosed in accordance with HIPAA requirements.
4. Assists in processing paperwork and completing administrative tasks associated with clinical care including managing records requests, orders, scanning, and uploading records.
5. Resolves problems independently, ensures continuous communication with clinical and non-clinical team members, and appropriately escalates issues to leadership.
6. Recognizes emergencies and appropriately responds using standard operating procedures and critical thinking skills. 
7. As an integral member of the business office team and to encourage growth of team members’ skills and knowledge, the HIM Tech I is cross-trained and can cover the roles, as needed, of Patient Access Representative I.
8. Responsible for coordinating with other business office team members when out of the office to ensure HIM activity continues seamlessly.
9. Role models the principles of Just Culture and Organizational Values
10. Performs other duties as assigned. Must be HIPAA compliant.

• One year of medical office or clinical experience required.
• Working knowledge of medical terminology preferred.
• Prior experience with medical records; collecting, scanning, and requesting preferred.

• N/A

• N/A

• Use of a computer, keyboard, and mouse, and experience with basic Microsoft Office applications required.
• Typing skills of no less than 20 WPM required.
• Ability to search resources and/or Internet to locate physician and healthcare facility information to make appropriate decisions.
• Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc.

• Bachelor's degree in related field preferred

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

1. 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. 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.
3. Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person.
4. 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.
5. 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.
6. Establishes files, maintains information, and scans medical records in a timely and organized manner.
7. 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.
8. Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.
9. Attends and provides feedback for departmental staff meetings.
10. 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.
11. Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services (CMS) standards
12. Role Models the Principals of a Just Culture and Organizational Values.
13. Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.
14. Performs other duties as assigned on department and organizational-level.

• Customer service and clerical experience

• N/A

• N/A

• Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

• N/A