Job Description

Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care.
Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about.
If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

The Manager – Cash/Collections is responsible for overseeing the daily operations of the collections team within the Revenue Cycle department. This role ensures the timely and effective collection of patient account balances and third-party reimbursements, improves cash flow, and promotes compliance with internal policies and external payer requirements. The manager will collaborate with other departments, lead performance improvement initiatives, and supervise staff performance in accordance with quality and productivity goals .

Essential Functions

• Supervise day-to-day operations of collections team to meet quality and productivity goals.
• Monitor aging reports by payer to ensure timely resolution and payment.
• Analyze and act on EOBs and denials to resolve issues affecting cash collections.
• Collaborate with internal teams to identify root causes of payment delays and implement solutions.
• Approve adjustments and refunds per policy guidelines.
• Assist in recruitment, training, coaching, and performance evaluations of staff.
• Prepare, analyze, and present daily, weekly, and monthly financial reports.
• Maintain and update business office policies, procedures, and contract documentation.
• Foster interdepartmental collaboration and maintain strong working relationships.
• Ensure compliance with federal, state, payer, and organizational billing and collections requirements.

Knowledge/Skills/Abilities/Expectations

• Knowledge of healthcare billing and collection practices, including insurance payer requirements.
• Proficiency in electronic billing systems and Microsoft Office applications.
• Strong analytical and problem-solving skills.
• Ability to lead, coach, and develop team members.
• Effective communication and interpersonal skills with internal and external stakeholders.
• Ability to manage multiple priorities in a fast-paced environment.

Education

• Associate’s Degree in Business, Finance, Healthcare Administration, or related field (Required) And
• Bachelor’s Degree in Business, Finance, Healthcare Administration, or related field (Preferred)

Licenses/Certifications

• None Specified Upon Hire

Experience

• 3-5 years healthcare revenue cycle experience (Preferred) And
• Prior Experience in a supervisory or management role in collections (Preferred)

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