Coordinator: Hospital Discounted Care

Coordinator: Hospital Discounted Care

Department: Patient Financial Services
Status: Full-Time | 1.0 FTE (40 hours/week)
FLSA Status: Exempt
Reports To: Director: Revenue Cycle
Location: Pagosa Springs Medical Center – Pagosa Springs, Colorado
Compensation:$27.14 - $33.93/hour
Anticipated End Date for Posting:November 12, 2026

💙Position Highlight

Help 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 combiningpatient advocacy, detailed case management, regulatory compliance, financial calculations, data accuracy, and cross-departmental coordination.

Position Summary

Pagosa Springs Medical Center (PSMC) is seeking a highly organized and compassionateCoordinator: Hospital Discounted Care to administer the day-to-day operations of PSMC'sHospital 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 system
• Serve as a key operational resource for PSMC's Hospital Discounted Care and financial assistance programs
• Help protect patient rights and prevent inappropriate billing or collection activity
• Build specialized expertise in Colorado Hospital Discounted Care, public-benefit eligibility, patient financial assistance, and healthcare revenue cycle
• Collaborate with Revenue Cycle, Patient Financial Services, Finance, Compliance, HIM, Informatics, Patient Access, and other departments
• Play an important role in regulatory reporting, audit readiness, process improvement, and staff education
• Join a community-focused Critical Access Hospital where your work has a visible impact on patients and organizational operations

Key Responsibilities

Account Identification & Work Queue Management

• Monitor designated EHR and billing work queues and other referral sources to identify potentially in-scope patient accounts
• Manage accounts involving uninsured, self-pay, subsequently uninsured, and insured patients requesting assistance
• Process screening referrals from hospital departments and ensure related encounters and services are linked to the correct patient record
• Maintain a complete HDC tracking log showing each account's screening, application, determination, outreach, payment-plan, billing, and collection-protection status
• Prioritize cases based on regulatory deadlines, discharge dates, billing status, patient needs, and risk of inappropriate collection activity
• Reconcile completed, pending, declined, unreachable, and returned accounts so patients are not lost between internal departments or external service partners Coordinator.

Patient Outreach, Screening & Financial Counseling

• Contact patients or authorized representatives using appropriate communication methods and required outreach practices
• Explain Hospital Discounted Care, public health coverage, PSMC financial assistance, application requirements, patient rights, deadlines, payment-plan protections, appeals, and complaint processes in plain language
• Complete or coordinate required screening for public health coverage and discounted care
• Provide application assistance or referral support for programs such as Medicaid, Emergency Medicaid, CHP+, Medicare, marketplace coverage, and other applicable programs
• Obtain and maintain required screening-decline documentation
• Document Patient Contact Best Efforts and other required outreach activity
• Coordinate qualified interpreter services, accessible communication, and reasonable accommodations when needed Coordinator.

Applications & Eligibility Coordination

• Initiate and manage HDC and related financial assistance applications
• Request only information and documentation permitted under current requirements
• Track outstanding documentation and communicate missing information to patients
• Verify household composition, income, insurance status, dates of service, and supporting information using current methodology and PSMC policy
• Calculate federal poverty guideline percentages, discounted-care eligibility, patient liability, and maximum monthly installment amounts
• Complete determinations within delegated authority and escalate exceptions or complex cases appropriately
• Prepare and send timely approval, denial, and other determination notices
• Communicate final eligibility, discounts, payor information, and account-adjustment information to applicable staff
• Refer patients who do not qualify for HDC to other PSMC financial assistance processes when appropriate Coordinator.

Payment Plans, Billing & Collection Protections

• Establish or coordinate compliant HDC payment plans using approved calculations
• Explain payment plans and required documentation to patients
• Monitor active payment plans, payments, deferment or redetermination requests, missed payments, completion, and required balance adjustments
• Coordinate account corrections, credits, refunds, write-offs, collection holds, and recalls when screening or eligibility information changes
• Perform or document required pre-collection reviews
• Confirm screening, outreach, discounted rates, payment-plan protections, notices, third-party billing, and applicable waiting periods have been satisfied
• Prevent accounts from advancing to prohibited collection activity when required HDC documentation or patient protections are incomplete
• Promptly escalate exceptions or potential patient-impact concerns Coordinator.

Documentation, Reporting & Audit Readiness

• Maintain complete, accurate, confidential, and retrievable HDC records
• Ensure applications, screening and decline forms, outreach logs, supporting documents, calculations, notices, account adjustments, payment plans, collection reviews, appeals, and remediation documentation are properly maintained
• Apply required record-retention standards and protect confidential patient and financial information
• Compile and validate annual HDC reporting data
• Reconcile reportable populations and reporting totals to source systems
• Research missing, conflicting, or incomplete information with Revenue Cycle, Finance, Informatics, HIM, applicable professionals, and vendors
• Maintain supporting documentation for final submissions, corrections, and regulatory review
• Prepare audit samples and supporting evidence
• Assist Revenue Cycle leadership and Compliance with findings, corrective actions, patient-impact reviews, and effectiveness monitoring
• Monitor and report overdue work, documentation gaps, trends, and patient-impact concerns Coordinator.

Program Coordination, Education & Improvement

• Serve as a primary operational resource for HDC questions
• Coordinate with external resources as authorized by leadership
• Maintain current procedures, forms, scripts, job aids, work queue logic, standard letters, and staff instructions
• Train and support Registration, Patient Financial Services, billing, collections, case management, and other affected staff
• Participate in system and workflow testing
• Verify automated statuses, due dates, letters, interfaces, holds, reports, and escalation alerts operate appropriately
• Identify barriers involving patient access, timeliness, language access, documentation, billing accuracy, or reporting
• Recommend practical process improvements
• Maintain backup procedures and cross-train designated staff to ensure time-sensitive HDC responsibilities continue during absences Coordinator.

Qualifications

Required Qualifications

Education

• High school diploma or GED
• Associate's degree inhealthcare administration, business, finance, social services, health information, or another related field, or equivalent directly related experience Coordinator.

Experience

• Minimum ofthree (3) years of experience in healthcare revenue cycle, patient financial services, financial counseling, eligibility, benefits navigation, health information, or a closely related function
• Experience managing detailed casework, deadlines, patient communication, and confidential information
• Experience with Colorado Hospital Discounted Care, Medicaid or public-benefit eligibility, hospital charity care, or rural hospital revenue cycle
• Experience with Oracle Health (Cerner) CommunityWorks, data reconciliation, regulatory reporting, audit preparation, or process improvement Coordinator.

Certification

• CurrentAHA BLS certification for healthcare providers Coordinator.

Skills & Abilities

• Ability to accurately perform and explain income, percentage, payment-plan, and account calculations
• Proficiency with electronic health records, billing systems, work queues, spreadsheets, secure file exchange, and Microsoft Office applications
• Working knowledge of patient financial assistance, public coverage pathways, hospital billing, payment plans, collections, privacy, and documentation practices
• Strong organization and follow-through when managing a high volume of time-sensitive patient accounts
• Ability to interpret and consistently apply written rules, procedures, decision tools, and calculation guidance
• Compassionate, respectful, and culturally responsive communication
• Strong attention to detail, sound judgment, and problem-solving skills
• Ability to recognize systemic workflow or data issues and identify when escalation is necessary
• Ability to work independently while collaborating across operational, financial, technical, clinical, and compliance teams
• Bilingual English/Spanish skills or demonstrated experience using qualified interpreter services Coordinator.

Preferred Qualifications

• Bachelor's degree in a related field
• Additional language skills beyond the minimum communication requirements Coordinator.

What We're Looking For

The ideal candidate:

• Is highly organized and comfortable managing detailed, deadline-driven casework
• Understands the importance of balancing regulatory requirements with a compassionate patient experience
• Can explain complicated financial assistance and coverage information clearly and respectfully
• Is comfortable working with financial calculations, patient accounts, EHR and billing systems, spreadsheets, and detailed documentation
• Recognizes the importance of protecting patients from inappropriate billing and collection activity
• Can identify discrepancies, investigate problems, and follow issues through resolution
• Understands when an issue can be handled independently and when escalation is required
• Builds effective relationships across departments and with external partners
• Can adapt as Hospital Discounted Care requirements, workflows, and systems change
• Demonstrates sound judgment when working with sensitive patient and financial information
• Embodies PSMC's WISER values ofWholeness, Integrity, Stewardship, Excellence, and Respect Coordinator.

Schedule & Work Environment

This is afull-time, exempt position, anticipated to work40 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 theCounselor: Financial role and does not supervise other personnel. Coordinator.

Compensation & Benefits

Compensation

• Pay range: $27.14 - $33.93/hour
• Placement within the range will be based on the selected candidate's qualifications, relevant experience, and PSMC's applicable compensation practices

Benefits (Full-Time)

• Generous paid time off
• Separate sick leave
• Medical, dental, and vision insurance
• Life and AD&D insurance
• Long-term disability coverage
• Option for short-term disability coverage
• Retirement plan with employer contribution
• Employee Assistance Program and wellness resources
• Professional development and continuing education opportunities

About Pagosa Springs Medical Center

Pagosa 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 Today

If you're an experienced healthcare revenue cycle or patient financial services professional who combinesattention 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.