Revenue Cycle Claims Manager

About this role

Pay range: $85,904 - $128,856 annually, based on experience.

In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position.

Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin.

About St. Charles Health System:

St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture.

What We Offer:

Competitive Salary

Comprehensive benefits including Medical, Dental, Vision for you and your immediate family

403b with up to 6% match on Retirement Contributions

Generous Earned Time Off

Growth Opportunities within HealthcareST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Manager, Claims
REPORTS TO POSITION: Senior Director, Single Billing Office
DEPARTMENT: Single Billing Office
DATE LAST REVIEWED: July 2026
OUR VISION: Creating America’s healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENTAL SUMMARY: The Single Billing Office (SBO) at St. Charles Health System (SCHS) provides revenue cycle services to our multi-hospital and medical group organization focusing on billing, collecting, and posting revenue. The goal of the SBO is to deliver a delightful, transparent, and seamless experience to patients and customers that captures and collects the revenue earned by SCHS in a quality, efficient and timely manner. Services include but are not limited to: billing insurance claims, posting insurance and patient payments, resolving insurance denials, collecting unpaid insurance claims, maintaining payer contracts in the EMR, resolving under and over payments, identifying and resolving payer issues, processing refunds, processing financial assistance applications, billing patients, resolving patient accounts including patient questions, and vendor management: lockbox, third-party collections, clearinghouse, early out, collection agencies.
POSITION OVERVIEW: The Claims Manager at St. Charles Health System is responsible for leading the daily operations of the claims function, including billing and insurance follow-up, to optimize reimbursement and support organizational revenue cycle goals. This role oversees claims operations, drives denial prevention and resolution efforts, analyzes claims performance, and implements process improvements that enhance efficiency, compliance, and financial outcomes. The Claims Manager collaborates with clinical, operational, and revenue cycle leaders to resolve complex claims issues, ensure adherence to billing regulations and payer requirements, and promote best practices across the organization. The position provides leadership, coaching, and development for claims supervisors and caregivers while fostering a culture of accountability, continuous improvement, and exceptional service.
This position directly supervises other caregivers.

ESSENTIAL DUTIES AND FUNCTIONS:
Manages the overall operations of claims teams.
Develops and maintains department policies and procedures.
Manages the creation and maintenance of training manuals, guides, and standard work.
Attends and/or leads applicable meetings including huddles, staff meetings, payer meetings, clinical and support department meetings, and educational opportunities as appropriate.
Maintains strong working knowledge of billing regulations, coding guidelines, reimbursement methodologies, and industry best practices.
Identifies denial trends in coordination with claim teams and other leader through the completion of audits, claim reviews, data analysis, research, and education.
Monitors revenue cycle metrics and implements solutions to meet metrics including education, IT optimization, and collaborations with departments, payers, and vendors. Solutions may include writing decision papers, SBAR’s, or presenting content to applicable stakeholders.
Point person for claim level escalations. Solutions to escalations may include writing decision papers, SBAR’s, or presenting content to applicable stakeholders.
Supports SCHS Single Billing Office (SBO) senior director as needed.
Supports Senior Director in budget development, regular monitoring, accountability and meeting all operational targets for all areas within span of control.
Manages human resource tasks including interviewing, hiring, timekeeping, coaching, mentoring, and performance management.
Hires, directs, coaches, and monitors the performance of all direct reports, to develop and maintain a high-performance team that meets organizational and department goals.
Monitors and ensures all direct reports are current with compliance and safety requirements. Implements and manages all organizational safety directives and goals.
Provides and oversees team’s delivery of customer service in a manner that promotes goodwill, is timely, efficient, and accurate.
Collaborates with teams to review processes and identify/implement opportunities for improvements, applying Lean principles, concepts, and tools.
Supports the vision, mission, and values of the organization in all respects.
Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Delivers customer service in a manner that promotes goodwill and teamwork; timely, efficient, and accurate.
Collaborates with teams to review processes and identify/implement opportunities for improvements,…