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Collections Specialist in Rock Springs, Wyoming at Memorial Hospital of Sweetwater County

NewJob Function: Accounting/Finance
Memorial Hospital of Sweetwater County
Rock Springs, Wyoming, 82901, United States
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Job Description

Collections Specialist

  • OUR CULTURE OF PERSON-CENTERED CARE
    • At Memorial Hospital of Sweetwater County, our mission, vision, and values serve as the foundation for how we care for patients, support our practitioners and co-workers, and engage with our community. We follow the “Planetree” methodology of “Person-Centered Care”. These guide our decisions, shape our culture, and define the expectations for every member of our team.
      Our Mission: Compassionate care for every life we touch
      Our Vision: To be our community’s trusted healthcare leader
      Our Values:
      • Be Kind - Demonstrating compassion, consideration, and thoughtfulness
      • Be Respectful - Being mindful of individual perspectives, priorities and needs
      • Be Accountable - Taking responsibility for our commitments, behaviors, and actions
      • Work Collaboratively - Cooperating with and encouraging each other to achieve a common goal
      • Embrace Excellence - Dedicated to setting standards that meet and exceed expectations
  • JOB SUMMARY

    • The Patient Financial Services (PFS) Collections Specialist is responsible for resolving outstanding patient and insurance account balances in a timely, accurate, and professional manner to support the hospital’s revenue cycle and financial integrity. This position focuses on follow-up and collection activities for hospital and clinic accounts, including insurance balances, patient responsibility, and self-pay accounts.

  • JOB QUALIFICATIONS
    • Education:
      • High school Diploma or it’s equivalent required
    • Certifications/Licenses:
      • Collections, billing, or revenue cycle certification (e.g., CRCS, CPB, or equivalent), preferred.

    • Job Knowledge and Skills:
        • Working knowledge of hospital and clinic billing processes, including insurance, patient responsibility, and self-pay accounts.
        • Understanding of revenue cycle workflows, including billing, follow-up, collections, denials management, and account resolution.
        • Knowledge of payer requirements, reimbursement methodologies, and claim follow-up processes for commercial insurance, Medicare, Medicaid, and other governmental or entitlement programs.
        • Ability to identify and resolve non-payment issues, including denials, underpayments, and billing errors.
        • Experience processing payments, adjustments, refunds, and financial class updates in accordance with hospital policies and payer guidelines.
        • Proficiency in electronic billing and account management systems, including working assigned accounts and documenting activity accurately.
        • Ability to communicate professionally and clearly with patients, insurance carriers, and internal departments regarding account status and balances.
        • Strong customer service skills, with the ability to handle sensitive financial information and difficult conversations with professionalism and empathy.
        • Solid understanding of HIPAA, patient confidentiality, and healthcare regulatory requirements.
        • Strong attention to detail and accuracy when reviewing account information and documentation.
        • Effective organizational and time-management skills, with the ability to prioritize workload and meet deadlines in a high-volume environment.
        • Ability to work independently and collaboratively as part of a revenue cycle team.
        • Basic proficiency with Microsoft Office applications and healthcare information systems.

        Preferred Skills – Collections

        • Prior experience in insurance and/or self-pay collections within a healthcare or hospital revenue cycle environment.
        • Advanced ability to negotiate payment arrangements and communicate effectively with patients regarding balances, payment options, and financial responsibility.
        • Experience working aging accounts, including accounts over 90/120 days, and taking appropriate escalation actions.
        • Familiarity with denials follow-up, appeal processes, and payer correspondence related to unpaid or underpaid claims.
        • Experience using account tracking tools and workqueues to manage collections activity efficiently (e.g., ATB, Heat Tracker, or similar tools).
        • Ability to de-escalate difficult conversations while maintaining professionalism, empathy, and compliance.
        • Knowledge of financial assistance programs, payment plans, and charity care policies, preferred.
        • Strong commitment to customer service and person-centered care while balancing organizational financial goals.

Job Location

Rock Springs, Wyoming, 82901, United States

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