Supervisor : Pre-Service / Financial Clearance
The Supervisor : Pre-Service / Financial Clearance oversees the day-to-day operations and activities of the Pre-Service areas. The Supervisor partners closely with the Director : Revenue Cycle to provide leadership coverage and presence in the Pre-Service area. This individual is responsible for :
- Ensuring the effective operations by providing direction and support to the Pre-Service team;
- Establishing clearly defined, optimal workflow requirements;
- Assisting the Director of Revenue Cycle with setting and implementing the strategic goals for the Pre-Service areas;
- Ensuring adoption and compliance with quality standards that minimize the institution's risk and enhance the patient experience;
- Preparing, analyzing and summarizing reports made available to the Director of Revenue Cycle regarding productivity and the quality of staff performance, with recommended strategies for operational improvement;
- Monitoring work quality, productivity metrics and providing remediation if needed;
- Training of new staff and assisting in the planning and development of Pre-Service training materials;
- Identifying areas for improvement and developing plans to improve the performance of these processes; and
- Serving as a primary resource to staff.
This position is customer service driven, and the Supervisor must have the ability to effectively promote positive customer service while working in a highly stressful and complex environment.
Located in the beautiful mountain town of Pagosa Springs, PSMC offers the unique opportunity to serve a rural community while working in a mission-driven healthcare facility. As the only hospital and EMS service in Archuleta County, we value innovation, collaboration, and compassionate care.
Pagosa Springs is not only a wonderful place to work, but also a wonderful place to live. Pagosans are warm and friendly people, proud of their community and proud of their medical center. The Pagosa Springs area boasts great public schools in addition to a variety of alternative education options. The region offers numerous recreational opportunities. Wolf Creek ski area is just 24 miles away and is surrounded by trails for snowshoeing, cross-country skiing, and snowmobiling. Hiking, biking, ATV riding, hunting, boating, fly-fishing, and kayaking opportunities abound in the warmer months. Pagosa Springs is home to the world's deepest geothermal hot spring and is located one hour east of Durango, CO and a short drive north of the New Mexico state line.
Base Compensation Range : $51,480.00 - $79,601.60 annually, based on years of relevant experience. Benefits include generous paid time off, separate sick leave, health, dental, vision, life and AD&D insurance, long-term disability and option for short-term disability, and retirement plan with employer contribution.
Job Type : Full-time
Shift Type : Day
Anticipated End Date for Posting : November 30, 2025. The deadline may close sooner due to an unanticipated business necessity, such as an incumbent vacating the role earlier than anticipated. You are encouraged to apply well in advance of the deadline.
Pagosa Springs Medical Center is an Equal Opportunity Employer. All qualified applicants will be considered for employment, and we will not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, marital status, or any other characteristic protected by law. Offers of employment are contingent upon successful completion of a pre-employment health and drug screen and background check.
At all times, the employee shall possess the following qualifications set forth below :
High school diploma or equivalent.Associate's degree or advanced college level courses in a related field or three (3) years equivalent experience is required.Successful completion of courses in computer and medical terminology.Minimum of two (2) years in prior authorization and utilization review experience is required.Minimum of two (2) years supervisory or management experience is required.Electronic health record (especially, Cerner) experience is strongly desired but not required.AHIMA or AAPC certification is strongly desired but not required.Knowledge of Medicare, Medicaid, Blue Cross, Commercial and other insurance programs is required.Working knowledge of clinical guidelines, medical necessity guidelines related to pre service certification.Must have strong working knowledge of Microsoft Office, Access, data entry and spreadsheets.Computer skills sufficient to utilize email, documents, spreadsheets and project management software.Current AHA BLS (Heart Saver) certification is required.Demonstrates ability to read, write, and clearly express one's self in English 100% of the time.Additional languages are desired but not required.Demonstrates ability to listen.Demonstrates ability to express or exchange ideas by means of spoken work, to impart oral information to others or the public and to convey detailed spoken instructions to others accurately, loudly, or quickly.Work is performed in an office setting with exposure to work stress, environmental stress and frequent interruptions; noise level is moderate; frequent daily communications with patients, employees, vendors and / or the public.PSMC cross-trains job positions.This position IS responsible for supervising other personnel, including involvement in on-boarding, off-boarding, termination, coaching / discipline and annual performance reviews.Exposure to blood, bodily fluids and communicable disease.Physical strain due to repetitive tasking, sitting.Potential exposure to verbal and / or physical abuse.Liability due to current public consciousness.Able to alternate between sitting and standing.Able to ascend or descend ramps and / or stairs using feet and legs.Clarity of vision at 20 feet or more.Picking, pinching, or otherwise working primarily with fingers.Able to hear, understand, and distinguish speech.Entering text or data into a computer.Transporting an object, usually by holding it in the hands or arms.Clarity of vision at approximately 20 inches.Observing an area that can be seen up and down or right to left.Extending hand and arms from 0 up to 150 degrees in a vertical arc.Extending hands and arms in a 150-180 degrees vertical arc.Standing is to remain on one's feet in an upright position.Medium Work : 26-50 pounds.At all times, employee shall satisfy the following requirements :
Adheres to our standards of conduct and culture (WISER) as defined by our policies and procedures including maintaining, always, an attitude of positive teamwork, compassion, integrity, and respect for our patients, visitors and staff.Demonstrates commitment to service excellence and promotes positive patient, visitor, and employee experiences.Establishes and maintains effective working relationships with others (i.e., co-workers, supervisors, patients, visitors, vendors of PSMC and the public).Works effectively on PSMC / department team matters and recognizes situations which require teamwork.Must consistently demonstrate compliance with organizational-wide competency statements and performance criteria based on established quality and key performance indicators.Participates in employee training, disaster preparedness and emergency events.Reports potential safety issues as soon as possible.Demonstrates safe operation of equipment and uses supplies / materials / chemicals as directed by instructions for use.Wears non-slip footwear to prevent fall and / or injury.Follows established policies and procedures for employee illness and / or exposure to illness / disease. Does not come to work sick.Demonstrates proper phone etiquette when talking on the phone for business.Answers phone messages promptly, by the end of the business day or as established by your department.Demonstrates proper email etiquette when utilizing PSMC email account.Answers email messages promptly.Demonstrates a willingness to perform tasks and complete assigned work, does not leave unfinished tasks for others to complete.Complies with all PSMC policies including, without limitation, timely attendance, code for dress and decorum, no conflicts of interest, no harassment, fragrance free, use of personal devices at work etc.Complies with all PSMC and department procedures, rules and