Business Office Manager: Critical Access Hospital; On-site

Job Details:

Job Location:

Pagosa Springs Medical Center - PAGOSA SPRINGS, CO 81147, Position Type:
Full Time, Education Level: 2 Year Degree, Salary Range: $79,456.00 - $99,320.00 Salary/year, Manager:
Business Office Department:
Patient Financial Services Status:
Full-Time | 1.0 FTEFLSA Status:
Exempt

Schedule:

40+ hours/week

Reports To:

Director:
Revenue Cycle

Location:

Pagosa Springs Medical Center – Pagosa Springs, Colorado Work Arrangement:
On-Site Required | Not Eligible for Remote or Hybrid Work

Lead the Business Office operations that support the financial health of Pagosa Springs Medical Center. This on-site leadership role offers the opportunity to develop a high-performing team, strengthen revenue cycle performance, and oversee billing and accounts receivable operations across hospital, clinic, and ambulance services.

Pagosa Springs Medical Center (PSMC) is seeking an experienced and collaborative Manager:
Business Office to lead our Patient Financial Services Business Office.

The Business Office Manager is responsible for the overall management of Business Office operations, ensuring timely and accurate billing, regulatory compliance, staff development, and achievement of organizational cash collection goals. This position oversees financial activities related to PSMC's hospital, clinic, and ambulance services, including patient billing, accounts receivable management, payment posting, denial management, collections, financial assistance processing, and reimbursement activities.

This is a hands‑on leadership opportunity for an experienced healthcare revenue cycle professional who combines strong technical knowledge of billing and reimbursement with effective leadership, analytical thinking, accountability, and a commitment to continuous improvement.

This position is required to work on‑site at Pagosa Springs Medical Center in Pagosa Springs, Colorado. Remote and hybrid work arrangements are not available for this role.

• Lead a critical component of the revenue cycle for a rural Critical Access Hospital
• Oversee Business Office operations across hospital, Rural Health Clinic, and ambulance services
• Develop, mentor, and support a team of healthcare revenue cycle professionals
• Directly influence accounts receivable performance, cash collections, denial management, and reimbursement
• Use data and key performance indicators to identify opportunities and drive measurable improvement
• Collaborate with Revenue Cycle, Finance, Patient Access, HIM, clinical departments, Informatics, and organizational leadership
• Help develop and improve workflows, policies, technology, and operational processes
• Join a community‑focused healthcare organization where your work directly supports our ability to provide high‑quality care close to home

• Oversee day‑to‑day Business Office operations, including patient billing, accounts receivable, payment posting, denial management, collections, financial assistance, and reimbursement
• Ensure timely and accurate billing for Critical Access Hospital inpatient and outpatient services, Rural Health Clinic services, and ambulance services
• Monitor claim submission timeliness and billing accuracy
• Ensure claims are submitted in accordance with federal, state, payer, and organizational requirements
• Monitor accounts receivable aging and develop strategies to reduce outstanding balances
• Oversee the resolution of claim edits, rejections, denials, underpayments, and credit balances
• Ensure timely appeals, corrections, and rebilling efforts
• Monitor accurate and timely posting of payments and contractual adjustments
• Review reimbursement trends and identify payment variances
• Monitor Medicare,…