Coordinator: Hospital Discounted Care

Pagosa Springs Medical Center; Pagosa Springs (CO); On-site; USD 37,000 - 47,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Paid time off

Retirement plan

Life and AD&D insurance

Long-term disability coverage

Job summary

Pagosa Springs Medical Center is seeking a highly organized Coordinator: Hospital Discounted Care to administer the day-to-day operations of HDC and related financial assistance workflows. The Coordinator manages the HDC process from account identification through screening, application, eligibility determination, payment-plan coordination, reporting, and audit support.

This position serves as the central operational resource for ensuring uninsured patients, subsequently uninsured patients, and

Qualifications

• Minimum three years in healthcare revenue cycle, patient financial services, or related field.
• Experience managing detailed casework, deadlines, and confidential information.
• Knowledge of Colorado Hospital Discounted Care or similar public-benefit workflows.

Responsibilities

• Identify and manage in-scope patient accounts and HDC workflow queues.
• Screen and assist with public coverage applications and financial assistance.
• Coordinate payment plans, documentation, and regulatory reporting.
• Maintain complete, accurate HDC records and audit readiness.

Skills

Healthcare revenue cycle

Financial counseling

Eligibility determination

Regulatory compliance

Data accuracy

Interpersonal communication

Bilingual English/Spanish

Education

High school diploma or GED

Associate's degree or related experience

Tools

Oracle Health (Cerner) CommunityWorks

Electronic health records (EHR) systems

Microsoft Office

Job description

Coordinator: Hospital Discounted CareDepartment: Patient Financial ServicesStatus: Full-Time | 1.0 FTE (40 hours/week)FLSA Status: ExemptReports To: Director: Revenue CycleLocation: Pagosa Springs Medical Center – Pagosa Springs, ColoradoCompensation: $27.14 - $33.93/hourAnticipated End Date for Posting: November 12, 2026 Position HighlightHelp patients navigate healthcare costs and financial assistance while ensuring Pagosa Springs Medical Center's Hospital Discounted Care program remains accurate, timely, compliant, and patient-centered.This position is ideal for an experienced healthcare revenue cycle or patient financial services professional who enjoys combining patient advocacy, detailed case management, regulatory compliance, financial calculations, data accuracy, and cross-departmental coordination.Position SummaryPagosa Springs Medical Center (PSMC) is seeking a highly organized and compassionate Coordinator: Hospital Discounted Care to administer the day-to-day operations of PSMC's Hospital Discounted Care (HDC) and related financial assistance workflows.The Coordinator manages the HDC process from account identification through screening, application, eligibility determination, payment-plan coordination, reporting, and audit support. This position serves as the central operational resource for ensuring uninsured patients, subsequently uninsured patients, and insured patients who request assistance receive timely, understandable, and properly documented access to available coverage and financial assistance options. Coordinator.The Coordinator works closely with Patient Access, Patient Financial Services, Revenue Cycle, Finance, Informatics, Health Information Management, applicable hospital-based professionals, Compliance, and PSMC's contracted HDC vendor. Because Colorado's Hospital Discounted Care requirements may change over time, this position must also be comfortable adapting workflows, procedures, and responsibilities as program requirements evolve.Why Join PSMC?Make a direct difference for patients who may be experiencing financial stress or difficulty navigating the healthcare systemServe as a key operational resource for PSMC's Hospital Discounted Care and financial assistance programsHelp protect patient rights and prevent inappropriate billing or collection activityBuild specialized expertise in Colorado Hospital Discounted Care, public-benefit eligibility, patient financial assistance, and healthcare revenue cycleCollaborate with Revenue Cycle, Patient Financial Services, Finance, Compliance, HIM, Informatics, Patient Access, and other departmentsPlay an important role in regulatory reporting, audit readiness, process improvement, and staff educationJoin a community-focused Critical Access Hospital where your work has a visible impact on patients and organizational operationsKey ResponsibilitiesAccount Identification & Work Queue ManagementMonitor designated EHR and billing work queues and other referral sources to identify potentially in-scope patient accountsManage accounts involving uninsured, self-pay, subsequently uninsured, and insured patients requesting assistanceProcess screening referrals from hospital departments and ensure related encounters and services are linked to the correct patient recordMaintain a complete HDC tracking log showing each account's screening, application, determination, outreach, payment-plan, billing, and collection-protection statusPrioritize cases based on regulatory deadlines, discharge dates, billing status, patient needs, and risk of inappropriate collection activityReconcile completed, pending, declined, unreachable, and returned accounts so patients are not lost between internal departments or external service partners Coordinator.Patient Outreach, Screening & Financial CounselingContact patients or authorized representatives using appropriate communication methods and required outreach practicesExplain Hospital Discounted Care, public health coverage, PSMC financial assistance, application requirements, patient rights, deadlines, payment-plan protections, appeals, and complaint processes in plain languageComplete or coordinate required screening for public health coverage and discounted careProvide application assistance or referral support for programs such as Medicaid, Emergency Medicaid, CHP+, Medicare, marketplace coverage, and other applicable programsObtain and maintain required screening-decline documentationDocument Patient Contact Best Efforts and other required outreach activityCoordinate qualified interpreter services, accessible communication, and reasonable accommodations when needed Coordinator.Applications & Eligibility CoordinationInitiate and manage HDC and related financial assistance applicationsRequest only information and documentation permitted under current requirementsTrack outstanding documentation and communicate missing information to patientsVerify household composition, income, insurance status, dates of service, and supporting information using current methodology and PSMC policyCalculate federal poverty guideline percentages, discounted-care eligibility, patient liability, and maximum monthly installment amountsComplete determinations within delegated authority and escalate exceptions or complex cases appropriatelyPrepare and send timely approval, denial, and other determination noticesCommunicate final eligibility, discounts, payor information, and account-adjustment information to applicable staffRefer patients who do not qualify for HDC to other PSMC financial assistance processes when appropriate Coordinator.Payment Plans, Billing & Collection ProtectionsEstablish or coordinate compliant HDC payment plans using approved calculationsExplain payment plans and required documentation to patientsMonitor active payment plans, payments, deferment or redetermination requests, missed payments, completion, and required balance adjustmentsCoordinate account corrections, credits, refunds, write-offs, collection holds, and recalls when screening or eligibility information changesPerform or document required pre-collection reviewsConfirm screening, outreach, discounted rates, payment-plan protections, notices, third-party billing, and applicable waiting periods have been satisfiedPrevent accounts from advancing to prohibited collection activity when required HDC documentation or patient protections are incompletePromptly escalate exceptions or potential patient-impact concerns Coordinator.Documentation, Reporting & Audit ReadinessMaintain complete, accurate, confidential, and retrievable HDC recordsEnsure applications, screening and decline forms, outreach logs, supporting documents, calculations, notices, account adjustments, payment plans, collection reviews, appeals, and remediation documentation are properly maintainedApply required record-retention standards and protect confidential patient and financial informationCompile and validate annual HDC reporting dataReconcile reportable populations and reporting totals to source systemsResearch missing, conflicting, or incomplete information with Revenue Cycle, Finance, Informatics, HIM, applicable professionals, and vendorsMaintain supporting documentation for final submissions, corrections, and regulatory reviewPrepare audit samples and supporting evidenceAssist Revenue Cycle leadership and Compliance with findings, corrective actions, patient-impact reviews, and effectiveness monitoringMonitor and report overdue work, documentation gaps, trends, and patient-impact concerns Coordinator.Program Coordination, Education & ImprovementServe as a primary operational resource for HDC questionsCoordinate with external resources as authorized by leadershipMaintain current procedures, forms, scripts, job aids, work queue logic, standard letters, and staff instructionsTrain and support Registration, Patient Financial Services, billing, collections, case management, and other affected staffParticipate in system and workflow testingVerify automated statuses, due dates, letters, interfaces, holds, reports, and escalation alerts operate appropriatelyIdentify barriers involving patient access, timeliness, language access, documentation, billing accuracy, or reportingRecommend practical process improvementsMaintain backup procedures and cross-train designated staff to ensure time-sensitive HDC responsibilities continue during absences Coordinator.Required QualificationsEducationHigh school diploma or GEDAssociate's degree in healthcare administration, business, finance, social services, health information, or another related field, or equivalent directly related experience Coordinator.ExperienceMinimum of three (3) years of experience in healthcare revenue cycle, patient financial services, financial counseling, eligibility, benefits navigation, health information, or a closely related functionExperience managing detailed casework, deadlines, patient communication, and confidential informationExperience with Colorado Hospital Discounted Care, Medicaid or public-benefit eligibility, hospital charity care, or rural hospital revenue cycleExperience with Oracle Health (Cerner) CommunityWorks, data reconciliation, regulatory reporting, audit preparation, or process improvement Coordinator.CertificationCurrent AHA BLS certification for healthcare providers Coordinator.Skills & AbilitiesAbility to accurately perform and explain income, percentage, payment-plan, and account calculationsProficiency with electronic health records, billing systems, work queues, spreadsheets, secure file exchange, and Microsoft Office applicationsWorking knowledge of patient financial assistance, public coverage pathways, hospital billing, payment plans, collections, privacy, and documentation practicesStrong organization and follow-through when managing a high volume of time-sensitive patient accountsAbility to interpret and consistently apply written rules, procedures, decision tools, and calculation guidanceCompassionate, respectful, and culturally responsive communicationStrong attention to detail, sound judgment, and problem-solving skillsAbility to recognize systemic workflow or data issues and identify when escalation is necessaryAbility to work independently while collaborating across operational, financial, technical, clinical, and compliance teamsBilingual English/Spanish skills or demonstrated experience using qualified interpreter services Coordinator.Preferred QualificationsBachelor's degree in a related fieldAdditional language skills beyond the minimum communication requirements Coordinator.What We're Looking ForThe ideal candidate:Is highly organized and comfortable managing detailed, deadline-driven caseworkUnderstands the importance of balancing regulatory requirements with a compassionate patient experienceCan explain complicated financial assistance and coverage information clearly and respectfullyIs comfortable working with financial calculations, patient accounts, EHR and billing systems, spreadsheets, and detailed documentationRecognizes the importance of protecting patients from inappropriate billing and collection activityCan identify discrepancies, investigate problems, and follow issues through resolutionUnderstands when an issue can be handled independently and when escalation is requiredBuilds effective relationships across departments and with external partnersCan adapt as Hospital Discounted Care requirements, workflows, and systems changeDemonstrates sound judgment when working with sensitive patient and financial informationEmbodies PSMC's WISER values of Wholeness, Integrity, Stewardship, Excellence, and Respect Coordinator.Schedule & Work EnvironmentThis is a full-time, exempt position, anticipated to work 40 hours per week. Coordinator.Work is performed in a hospital office environment and includes frequent communication with patients, employees, vendors, and members of the public. The position requires the ability to manage frequent interruptions, competing priorities, sensitive patient matters, and time-sensitive deadlines while maintaining accuracy and confidentiality.The Coordinator cross-trains to support the Counselor: Financial role and does not supervise other personnel. Coordinator.Compensation & BenefitsCompensationPay range: $27.14 - $33.93/hourPlacement within the range will be based on the selected candidate's qualifications, relevant experience, and PSMC's applicable compensation practicesBenefits (Full-Time)Generous paid time offSeparate sick leaveMedical, dental, and vision insuranceLife and AD&D insuranceLong-term disability coverageOption for short-term disability coverageRetirement plan with employer contributionEmployee Assistance Program and wellness resourcesProfessional development and continuing education opportunitiesAbout Pagosa Springs Medical CenterPagosa Springs Medical Center is a Critical Access Hospital serving Pagosa Springs and Archuleta County in southwest Colorado. Our Patient Financial Services and Revenue Cycle teams play an important role in helping patients understand their financial options while supporting accurate, compliant, and sustainable healthcare operations.Located in the beautiful San Juan Mountains, Pagosa Springs offers an exceptional quality of life with year-round opportunities for hiking, skiing, fishing, mountain biking, rafting, hunting, and other outdoor recreation.At PSMC, you'll join a collaborative healthcare team guided by our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect.Apply TodayIf you're an experienced healthcare revenue cycle or patient financial services professional who combines attention to detail, regulatory awareness, strong problem-solving skills, and compassion for patients navigating healthcare costs, we'd love to hear from you.Join Pagosa Springs Medical Center and help ensure patients have timely, understandable, and equitable access to the coverage and financial assistance options available to them.