Manager, Patient Business Services – Reimbursement
Legacy Health
PORTLAND, OR · Posted October 15, 2026
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Where PORTLAND, OR ranks
Where PORTLAND, OR placed in our monthly rankings, month by month. Each month stays online at its own address.
November 2026
- #1Cities where the biggest share of jobs do not need a four-year degree in the Pacific Northwest19% · of 12
- #2Cities with the most hybrid jobs in the Pacific Northwest14% · of 16
- #3Cities with the most jobs that do not need a four-year degree in the Pacific Northwest102 jobs · of 8
- #4Best cities for software and engineering jobs in the Pacific Northwest136 openings · of 14
- #5Best college towns for junior jobs in the Pacific Northwest29% · of 13
- #6Cities with the most jobs that need no experience in the Pacific Northwest0.8% · of 16
Rankings about clinical jobs
- Best cities for clinical jobs #1 New York (202 openings)
- Employers with the most clinical jobs #1 Veterans Health Administration (215 roles)
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About the job
Overview
If your passion lies in making life better—not just for patients, but for your team and your community—you may find your purpose at Legacy. We are looking for a compassionate and driven leader to provide operational oversight for key revenue-cycle functions, including Expected Reimbursement, Cash Posting, and Denials , with responsibility for supporting accurate reimbursement, effective payment posting and reconciliation, denial prevention and resolution, and the timely collection of hospital and professional accounts. These functions are reflected across Patient Business Services and Hospital and Professional Billing operations, including reimbursement/appeals, cash posting, and denial management.
In this role, you’ll guide patients through important financial decisions with empathy and understanding, especially during moments that may be difficult or emotionally charged. Your leadership will help ensure that financial care remains a vital part of the overall healthcare experience we provide. If you share our commitment to service, integrity, and compassion, we’d love to connect with you.
This is a hybrid-remote position , open to candidates who reside in Oregon or Washington . The schedule includes on-site work at a designated Legacy Health location, with the flexibility to work remotely from home, on the road, or from a satellite office on other days of the week.
Responsibilities
Manager, Patient Business Services – Reimbursement
Manage daily operations of the hospital billing department in alignment with the organization’s mission, values, and goals.
Lead recruitment, interviewing, selection, training, and performance evaluation of billing staff.
Assess the technical and professional development needs of the team; provide or coordinate educational resources accordingly.
Assign workloads, monitor both quantity and quality of work, and set business priorities to meet organizational goals.
Develop, implement, and maintain departmental policies and procedures to ensure efficient and effective service delivery.
Identify and resolve issues impacting billing services to maintain operational excellence.
Monitor and manage the department’s operating budget; approve expenditures and purchases in compliance with budget guidelines.
Ensure compliance with all applicable statutory, regulatory, and administrative requirements related to billing operations and accreditation standards.
Qualifications
Education:
Bachelors Degree in business or related field, or equivalent experience required.
Experience:
Management experience with a thorough knowledge of operations, including staffing and scheduling, budget management, and workflow planning required.
Five years experience in supervision or management of accounts receivable in a health care environment, including experience in billing, collections, electronic billing systems and customer service required.
Proven expertise in payor management, with the ability to use data analytics to guide discussions and manage escalations effectively.
Experience with Epic systems and Accounts Receivable (AR) management is essential to ensure smooth billing operations and support financial stability.
Skills:
Strong skills in lean thinking and problem-solving to optimize billing workflows and drive continuous improvement.
Ability to manage a broad span of control through implementation of a self-directed team approach.
Strong communication and leadership skills, and a willingness to lead by example.
Interpersonal skills to be sensitive to the patient's needs while communicating Legacy's needs.
Ability to work with insurances and regulatory agencies.
Pay Range USD $49.56 - USD $74.82 /Hr.
Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you