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. #J-18808-Ljbffr Sweetwater Memorial