Financial Counselor, PRN

SageWest Health Care – Lander; Lander (WY); On-site; USD 45,000 - 65,000; Part time

Job summary

SageWest Health Care in Fremont County, Wyoming, seeks a Financial Counselor to coordinate all financial aspects of a patient’s visit, including insurance verification, pre-certification, and collection of co-pays and balances.

The role also supports accurate reconciliation of payments, collaborates with clinical teams for financial planning, and documents transactions while upholding customer service standards. Strong communication and attention to detail are essential.

Qualifications

• 1–2 years of experience in healthcare financial services or related field preferred.
• Experience with insurance verification, pre-certification and collections preferred.
• Ability to reconcile payments and document transactions clearly and accurately.

Responsibilities

• Verify insurance and pre-certification for scheduled services.
• Contact patients to collect co-pays and explain estimates.
• Coordinate with leadership to reschedule non-emergent services when payment is an issue.
• Collaborate with Case Management and Discharge Planning on financial counseling and payment collection.
• Reconcile daily cash receipts and post payments.
• Provide itemized bills for audits and for attorneys or patients.
• Maintain detailed account notes in the financial system.

Skills

Insurance verification

Financial counseling

Cash handling

Co-pay collection

Communication skills

Regulatory compliance

Education

High School Diploma or equivalent

Tools

EMR systems

Microsoft Office

Job description

Description

At SageWest Health Care, we are committed to providing our patients with the highest quality, family-friendly care available. SageWest Health Care is located in Fremont County, Wyoming, encompassing two hospitals, one in Riverton and one in Lander. Each offers a wide range of healthcare services, including inpatient medical services, emergency room services, surgical services, imaging services, laboratory diagnostic services, primary care, infusion services, and women’s health.

Hours: PRN (7:30 am to 4:00 PM coverage)

Job Summary

The Financial Counselor is responsible for coordinating all financial aspects of a patient’s visit, including insurance verification, pre-certification, collection of co-pays and outstanding balances, and patient financial counseling. This role also supports accurate reconciliation of payments, collaboration with clinical teams for financial planning, and documentation of transactions. The Financial Counselor ensures patients understand their financial responsibilities while upholding customer service standards.

Essential Functions

• Perform insurance verification and pre-certification for scheduled services, excluding Radiology and Emergency Department.
• Contact patients/responsible parties prior to procedures to provide estimates and collect co-pays, deductibles, and outstanding balances.
• Coordinate with clinical and administrative leadership to reschedule non-emergent services for patients unable to pay.
• Work closely with Case Management and Discharge Planning to provide financial counseling and collect payment.
• Accurately reconcile daily cash receipts and post payments.
• Complete and track refund and correction transactions.
• Provide itemized bills and financial documentation for attorneys, patients, and audits.
• Post and manage payroll deductions, prompt pay discounts, and GL entries in coordination with the staff accountant.
• Act as a cashier as needed, ensuring accuracy and professionalism.
• Maintain detailed account notes in the financial system.
• Support departmental and organizational cash collection and bad debt reduction goals.

Knowledge/Skills/Abilities/Expectations

• Strong understanding of insurance benefits, co-payments, deductibles, and pre-certification requirements.
• Excellent communication and interpersonal skills with a customer-focused approach.
• Ability to work under pressure and manage multiple priorities independently.
• High attention to detail with experience in cash handling and reconciliation.
• Proficiency in Microsoft Office (Word, Excel, Outlook) and hospital billing/EMR systems.
• Ethical and professional conduct with respect to patient confidentiality and regulatory compliance.
• Strong organizational skills and critical thinking abilities.
• Commitment to teamwork, collaboration, and high service standards.

Qualifications

Education

• High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role. (Preferred)

Licenses/Certifications

• None required

Experience

• 1-2 years of experience in healthcare financial services, insurance verification, or collections preferred.