Patient-Focused Healthcare Collections Specialist

Sweetwater Memorial; Rock Springs (WY); On-site; USD 42,000 - 64,000; Full time

Job summary

Memorial Hospital of Sweetwater County is seeking a Patient Financial Services Collections Specialist to resolve outstanding patient and insurance balances, supporting revenue cycle and financial integrity. Focus areas include follow-up on hospital and clinic accounts, insurance balances, patient responsibility, and self-pay accounts.

The role requires strong communication, attention to detail, knowledge of billing processes, and HIPAA compliance.

Qualifications

• High school Diploma or its equivalent required.
• Certifications in collections, billing, or revenue cycle preferred (e.g., CRCS, CPB, or equivalent).
• 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.
• 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.

Skills

Hospital billing knowledge

Revenue cycle understanding

Denials management

Communication skills

HIPAA compliance

Attention to detail

Education

High school diploma or equivalent

Tools

Microsoft Office

Healthcare information systems

Electronic billing systems

Job description

Memorial Hospital of Sweetwater County is seeking a Patient Financial Services Collections Specialist to resolve outstanding patient and insurance balances, supporting revenue cycle and financial integrity. Focus areas include follow-up on hospital and clinic accounts, insurance balances, patient responsibility, and self-pay accounts.

The role requires strong communication, attention to detail, knowledge of billing processes, and HIPAA compliance.