Supervisor: Pre-Service

Position Summary:   

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. 

Join a Hospital That Feels Like Family – In a Town That Feels Like Home 

Pagosa Springs Medical Center is an award-winning, independent Critical Access Hospital serving the residents and visitors of Archuleta County and the surrounding region. As a modern rural hospital, PSMC delivers exceptional emergency, primary, and specialty care supported by advanced technology, a collaborative medical staff, and a leadership team committed to quality, safety, and patient-centered service. 

At PSMC, you are not just a number – you are a valued team member whose contributions make a real difference. We prioritize professional growth, meaningful work, and a positive, supportive workplace culture grounded in our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect. 

What you'll find at PSMC: 

• A supportive, collaborative culture where people truly care about each other 
• Modern facilities and growing service lines 
• Leadership that listens and invests in staff 
• Opportunities to learn, grow, and advance your career 
• A place where you can have direct impact on patient care and community wellness 

Live Where Other People Vacation  

Pagosa Springs is a mountain paradise tucked among the rugged peaks of the San Juan National Forest. Here, you can step into nature the moment you clock out:  

• Relax in our world-famous hot springs 
• Ski or snowboard at Wolf Creek Ski Area – "the most snow in Colorado," just 30 minutes away 
• Explore hundreds of miles of hiking, biking, and off-roading trails 
• Enjoy fly fishing, rafting, or paddle boarding on pristine rivers and lakes 
• Experience warm, friendly community with local festivals, live music, farmers markets, and small-town charm 

If you're looking for meaningful work, work-life balance, and a community that embraces you – PSMC and Pagosa Springs are the perfect place to build your future. 

• Base Compensation Range: $51, $79,601.60 annually, based on years of relevant experience. "Relevant experience" means relevant to the employee's responsibilities set forth in the job description as determined by the HR Manager, CAO, applicable department manager/director and applicable senior leader. 
• Benefits: 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: December 31, 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. 

Qualifications:  At all times , the employee shall possess the following qualifications set forth below.

Education/Training:

Check ALL that Apply:

X

High school diploma or equivalent.

X

Associate's degree or advanced college level courses in a related field or three (3) years equivalent experience is required.

X

Successful completion of courses in computer and medical terminology.

Experience:

X

Minimum of two (2) years in prior authorization and utilization review experience is required.

X

Minimum of two (2) years supervisory or management experience is required.

X

Electronic health record (especially, Cerner) experience is strongly desired but not required.

Special Skills, Licenses or Certifications:

X

AHIMA or AAPC certification is strongly desired but not required.

X

Knowledge of Medicare, Medicaid, Blue Cross, Commercial and other insurance programs is required.

X

Working knowledge of clinical guidelines, medical necessity guidelines related to pre – service certification.

X

Must have strong working knowledge of Microsoft Office, Access, data entry and spreadsheets.

X

Computer skills sufficient to utilize email, documents, spreadsheets and project management software. 

X

Current AHA BLS (Heart Saver) certification is required.   

Language Skills:

X

Demonstrates ability to read, write, and clearly express one's self in English 100% of the time.

X

Additional languages are desired but not required.

X

Demonstrates ability to listen.

X

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 Environment:

X

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. 

Cross-Training of  

Position: 

X

PSMC cross-trains job positions.  This job description must cross-train to be able to effectively perform the job position(s) of:   Specialist: Pre – Certification.

Supervisory Responsibilities:

X

This position IS responsible for supervising other personnel, including involvement in on-boarding, off-boarding, termination, coaching / discipline and annual performance reviews. This position is also responsible for ensuring staff competencies as appropriate.

Job Hazards:

X

Exposure to blood, bodily fluids and communicable disease. 

X

Physical strain due to repetitive tasking, sitting.

X

Potential exposure to verbal and / or physical abuse.

X

Liability due to current public consciousness. 

 Physical Demands: 

Check ALL that Apply:

 Description 

X 

 Alternate Sit/Stand or Walk at Will – Able to alternate between sitting and standing as needed. 

X 

 Climbing Ramps/Stairs – Able to ascend or descend ramps and/or stairs using feet and legs.  Hands and arms may be used for balance, i.e., holding the rail. 

X 

 Far Visual Acuity – Clarity of vision at 20 feet or more.  This is not just the ability to see a person or object, but the ability to recognize features as well. 

X 

Fine manipulation – Picking, pinching, or otherwise working primarily with fingers rather than the whole hand or arm as in gross manipulation. 

X 

Hearing requirements – Able to hear, understand, and distinguish speech and/or other sounds, i.e., machinery alarms, medical codes/alarms, one on one or in a group or conference. 

X 

Keyboarding – Entering text or data into a computer or other machine with a keyboard. 

X 

Carrying – Transporting an object, usually by holding it in the hands or arms, but may occur on the shoulder. 

X 

Near Visual Acuity – Clarity of vision at approximately 20 inches or less (i.e., working with small objects or reading small print, including the use of computers. 

X 

Peripheral vision – Observing an area that can be seen up and down or right to left while eyes are fixed on a given point. 

X 

Reaching at/below shoulder level – Extending hand and arms from 0 up to 150 degrees in a vertical arc.  Reaching requires the straightening and extension of the arm and elbow and the engagement of the shoulder.  The elbow does not need to be locked at any time and the arm does not need to remain in a continuously straight position. 

X 

Reaching overhead – Extending hands and arms in a degrees vertical arc.  Reaching requires the straightening and extension of the arm and elbow and the engagement of the shoulder.  The elbow does not need to be locked at any time and the arm does not need to remain in a continuously straight position. 

X 

Standing/walking – Standing is to remain on one's feet in an upright position at a workstation without moving about.  Walking is to move about on foot. 

Type of Work 

 Select (1) 

Seldom 

Occasionally 

Frequently 

Constantly 

Sedentary 

Up to 10 pounds 

Up to 10 pounds 

Negligible weight 

No weight 

Light Work 

11-25 pounds 

11-25 pounds 

1-10 pounds 

Negligible weight 

Medium Work 

X

26-50 pounds 

26-50 pounds 

11-25 pounds 

1-10 pounds 

Heavy Work 

51-100 pounds 

51-100 pounds 

26-50 pounds 

11-25 pounds 

Very Heavy Work 

>100 pounds 

>100 pounds 

>50 pounds 

>25 pounds 

Standard Job Requirements:  At all times , employee shall satisfy the following requirements:

Culture:

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. 

Quality:

Must consistently demonstrate compliance with organizational-wide competency statements and performance criteria based on established quality and key performance indicators. 

Safety:

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. 

Service Excellence:

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