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Legacy Health

Hospital Billing & Insurance Follow Up Manager

Company : Legacy Health

Location : Portland, OR

Job Type : Full Time

Date Posted : 14 January 2026

Overview

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

We are seeking a detail-oriented and experienced Hospital Billing & Insurance Follow Up Manager to lead our billing and Insurance Follow-Up operations and support the financial health of our organization. This role is responsible for overseeing the accurate and timely processing of medical claims, ensuring compliance with payer regulations, and driving performance across the revenue cycle.

 

Key Responsibilities:

  • Manage day-to-day operations of the hospital billing and Insurance Follow Up department, including staff supervision and workflow optimization.
  • Ensure timely and accurate submission of claims to commercial and government payers.
  • Monitor and resolve billing issues, denials, and discrepancies to maximize reimbursement.
  • Collaborate with coding, registration, and finance teams to streamline revenue cycle processes.
  • Maintain compliance with federal, state, and payer-specific billing regulations.
  • Develop and analyze billing performance reports to identify trends and opportunities for improvement.
  • Provide leadership, training, and support to billing staff to foster a high-performing team environment.
  • Serve as a point of escalation for complex patient billing inquiries and disputes.

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 $48.59 - USD $73.35 /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

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Frequently asked questions

Managers in Portland typically use detailed data analytics combined with strong payer relationship skills to resolve complex denials. This involves collaborating with coding and finance teams to streamline claim resubmissions, ensuring compliance with payer rules, and escalating when necessary to maximize reimbursements within Oregon's healthcare regulations.

Effective leadership for this hybrid role includes clear communication, adaptability to remote workflows, and strong problem-solving capabilities. Cultivating a self-directed team culture, providing ongoing coaching, and leading by example are crucial to maintaining high performance in billing operations at Legacy Health.

This role goes beyond standard billing tasks by focusing heavily on insurance follow-up and revenue cycle optimization. It requires advanced skills in payor management, dispute resolution, and regulatory compliance, along with supervising staff and analyzing billing trends to improve financial outcomes.

While not always mandatory, certifications like Certified Revenue Cycle Representative (CRCR) and training in Epic Systems are highly valued. Oregon employers often prefer candidates familiar with local Medicaid and commercial payer requirements, enhancing compliance and reimbursement efficiency.

In Portland, this managerial position commands an hourly wage between $48.59 and $73.35, reflecting its specialized expertise in billing and insurance follow-up. This range is competitive compared to other healthcare finance roles, largely due to the mix of supervisory duties and technical AR management.

Legacy Health's hybrid-remote model demands flexibility balancing onsite presence with remote work, which can complicate team coordination. Their commitment to inclusivity and high compliance standards means managers must adeptly navigate diverse patient and payer requirements while fostering a collaborative culture.

Legacy Health promotes lean thinking and continuous improvement, providing managers with resources for workflow optimization and staff training. Integration with Epic Systems and cross-department collaboration tools empower managers to address billing discrepancies swiftly and maintain financial health.

Portland's healthcare sector shows a steady demand for experienced billing managers due to expanding hospital services and regulatory complexities. Competition is moderate, favoring candidates with strong AR management background, Epic proficiency, and leadership experience in hybrid work environments.

Commuting can vary depending on location within Portland; however, hybrid schedules reduce daily travel. Many employees benefit from flexible workdays, allowing them to avoid peak traffic hours and balance onsite responsibilities with remote productivity.

Daily duties include supervising billing staff, reviewing claim submissions, resolving denials, coordinating with payers, and analyzing performance reports. The position requires dynamic problem-solving to maintain revenue integrity and ensuring compliance with evolving healthcare billing standards.

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