Healthcare Collections & Pre-Authorization Specialist

Powell Valley Healthcare; Powell (WY); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Long-term disability

PTO accrual (20 days/yr)

Extended Illness Bank

9 paid holidays

Tuition savings plan

PTO cash-out

Tuition reimbursement

Fun to be Fit program

Club Dauntless discount

HRA flex spending

Job summary

Powell Valley Healthcare in Powell, Wyoming is seeking a full-time Medical Collections Specialist to manage patient and insurance balances with empathy and professionalism.

In this role, you will negotiate payment plans, resolve disputes, and ensure accuracy in billing while complying with HIPAA and healthcare privacy rules. You will also document activities and collaborate with the billing team to improve revenue cycle processes.

Qualifications

• Strong bookkeeping knowledge and accuracy in financial processes.
• Proficient with common office equipment (PCs, printers, terminals, calculator, fax, copiers).
• Experience with Windows Excel and Word and healthcare systems applications.

Responsibilities

• Follow up on outstanding balances from patients and insurance providers.
• Negotiate payment arrangements and resolve billing disputes to recover revenue.
• Communicate professionally and empathetically with patients about owed amounts, explaining billing statements and payment options.
• Regulatory knowledge — understanding of healthcare billing laws and privacy regulations. Ensure compliance with 501 r-6 and HIPAA privacy rules.
• Document all collections activity accurately in billing systems. Communicate with patients about financial obligations per individual insurance plans.
• Take patient payments (check-by-phone, ACH, etc.) and verify account accuracy. Communicate with patients about financial obligations.
• Process Prior Authorization of assigned encounters along with reviewing patient coverage and patient responsible balance.
• Patient communication— clear, empathetic, and professional interactions. Review all admission paperwork to determine accuracy and verification needs.
• This position will also answer patient customer service calls to fill in when needed.
• Other duties as assigned.

Skills

Bookkeeping

Office equipment

Excel & Word

Healthcare systems

Communication

Education

High school diploma or GED

Experience in medical field preferred

Job description

Powell Valley Healthcare in Powell, Wyoming is seeking a full-time Medical Collections Specialist to manage patient and insurance balances with empathy and professionalism.

In this role, you will negotiate payment plans, resolve disputes, and ensure accuracy in billing while complying with HIPAA and healthcare privacy rules. You will also document activities and collaborate with the billing team to improve revenue cycle processes.