Billing Representative - Medical

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 . Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: State locations and specifics are subject to change as our hiring requirements shift. This role is responsible for the accurate and timely verification of insurance and benefits information for patients at Vail Health. The position plays a key role in supporting the organization’s financial health by ensuring financial clearance prior to service and maintaining accurate patient demographic and insurance information for proper claims processing. Utilize online systems, phone communication, and other resources to determine eligibility and benefits prior to scheduled appointments in accordance with Vail Health timelines Accurately identify and assign payer plan codes in the organization’s electronic health record system Verify medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicate coverage and eligibility details to patients Communicate with patients, physicians, clinicians, front-end staff, and translators to gather any additional required information Identify and obtain missing patient demographic, insurance, or pre-authorization details Communicate patient financial responsibility directly or partner with appropriate staff to review payment and financial assistance options One year of customer service experience preferred Insurance verification or healthcare experience preferred At least one year of professional experience using Epic, specifically working with and verifying Physical Therapy and/or Occupational Therapy workflows, is strongly preferred. Degree in healthcare administration or a related field preferred Benefits at Vail Health (Full-time) Include

• Housing programs
• Childcare reimbursement
• Medical
• Dental
• Specialty Certification Reimbursement

~ Retirement & Supplemental Insurance:

• 403(b) Retirement plan with immediate matching
• Life insurance
• Short and long-term disability
• Up to $1,000 annual wellbeing reimbursement
• Pet insurance

Pay is based upon relevant education and experience per hour. Hourly Pay: $