At Powell Valley Healthcare, providing quality healthcare to our community is our top priority. We are located in the heart of Powell, Wyoming; just 25 miles outside of Cody. We believe in creating positive and safe environments for both our patients and our staff. Being part of our organization means becoming a cornerstone in the patient experience and their care. 

Here at PVHC, we offer a wide array of benefits in a way that allows you to choose options and build a package that works best for you. Some of the benefits we offer to our full-time and part-time staff include: 

  • Health, dental and vision insurance 
  • Life insurance 
  • Long term disability coverage 
  • PTO – New employees accrue the equivalent of up to twenty days of PTO withing their first calendar year 
  • EIB (Extended Illness Bank) – Our version of accrued sick leave 
  • Nine paid holidays which includes two personal holidays 
  • Tuition Savings Plan 
  • Opportunities to cash out PTO for personal use, student loan payments, and in-house medical bills 
  • Tuition reimbursement – up to $5,000 per year 
  • Fun to be Fit program and Club Dauntless Membership Discount 
  • HRA – Flex spending accounts 

POSITION SUMMARY:

Current Opening: One full-time position; 8:30 AM – 5:00 PM Monday – Friday

Responsible for performing daily account follow-up to obtain timely payment of insurance claims. Requires communicating with payers and/or patients to resolve outstanding claims. research denials and file appeals.

ESSENTIAL FUNCTIONS:

  • Daily follow up and research with payors, clearinghouse, and patients to ensure timely payment onprimary and secondary claims.
  • Communicate with other departments daily to resolve edits and missing charge issues as well as any other billing issues.
  • Identify potential claim issues and escalate to management.
  • Document the patient account that supports the actions taken and provides a strong hystorical record.
  • Stay current with all payer updates.
  • Identify adjustments are posted correctly.
  • Review EOBs, remits, denials and payer correspondence and take appropriate actions.
  • Process credit card payments and set up payment plans based on guidelines.
  • Consistently meet individual daily and monthly worked account and total aging goals.
  • Work with other team members in a professional manner.
  • Maintain confidentiality of patients and staff, professional appearance and excellent customer service skills.
  • Receives, places, and transfers calls using appropriate telephone etiquette; handles telephone information requests with courtesy, accuracy and respect.
  • Cross train all functions to include deposit processing and report review and special projects as needed.
  • Other duties as assigned.

KNOWLEDGE, EDUCATION, AND EXPERIENCE REQUIRED:

  • High school diploma or General Education Degree (GED) required.
  • Previous work in revenue cycle is preferred.

SKILLS AND ABILITIES REQUIRED:

  • Strong working knowledge and skills in essential bookkeeping functions.
  • Skills in operation of typical office equipment such as PCs, printers, terminals, calculator, FAX, copiers, etc.
  • Knowledges of and experience in using Microsoft Word, Excel as well as small business applications and healthcare system applications — primary focus on accounting and financial functions.
  • Must be able to communicate efficiently and professionally with patients and families.

PHYSICAL DEMANDS/REQUIREMENTS:

  • Regularly lift or move objects weighing 10 lbs., frequently lift and/or move up to 25 lbs.
  • Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and depth perception.
  • Reaching, handling, feeling, talking, hearing, stooping, bending, crouching, and working with equipment.
  • The employee is also subject to exposure to blood and body fluids, proximity to moving mechanical parts, electrical shock, exposure to burns and radiant energy, exposure to explosives, exposure to toxic chemicals and biological agents.