PRC Programs Lead & Billing Supervisor

Nathpo; Oregon (WI); On-site; USD 80,000 - 88,000; Full time

Job summary

Nathpo is seeking a Purchase Referred Care Manager in Siletz, Oregon to supervise the PRC program and its team of technicians. The role focuses on accurate processing of healthcare claims, adherence to program policies, and continuous workflow improvements to enhance quality and cost-efficiency.

The position requires leadership, analytical skills, and the ability to produce detailed billing reports while ensuring regulatory compliance across Medicare, Medicaid, and private payers.

Qualifications

• Associate’s degree in healthcare administration or related field required; four years’ medical billing/reimbursement experience and 2+ years supervisory experience.

Responsibilities

• Supervise and train Healthcare Reimbursement Technicians.
• Approve program expenditures and authorize PRC claim payments; oversee accounting reconciliation.
• Prepare monthly, quarterly, and annual reports focusing on performance metrics and expenditures.
• Coordinate with internal departments and external providers to resolve issues and improve workflows.
• Ensure billing activities adhere to regulations and department policies.

Skills

Medical terminology

Billing procedures

Process improvement

Leadership and supervision

Regulatory knowledge

Data analysis and reporting

Education

Associate’s degree in healthcare administration

Tools

NextGen EHR/EMR

Billing software

MS Office

Job description

Nathpo is seeking a Purchase Referred Care Manager in Siletz, Oregon to supervise the PRC program and its team of technicians. The role focuses on accurate processing of healthcare claims, adherence to program policies, and continuous workflow improvements to enhance quality and cost-efficiency.

The position requires leadership, analytical skills, and the ability to produce detailed billing reports while ensuring regulatory compliance across Medicare, Medicaid, and private payers.