Lead Patient Financial Services
Altru Health System
Accounting & Finance
Grand Forks, ND, USA
Posted on Feb 7, 2026
Everything we do is underscored by a why — and that why is one another.
Location:
Altru Health System
PO Box 6002
Grand Forks, ND 58201Pay Range: $18.82 - $28.23Summary:
The Lead Patient Financial Services oversees the team of Patient Account Representatives and Revenue Cycle Assistants. This role is responsible for managing complex accounts and ensuring patient interactions during billing and follow-ups are handled with care and consistency. The Lead monitors self-pay and third-party collections, providing support and guidance to staff to ensure smooth operations. This position also focuses on operational efficiency, supporting uninsured and underinsured patients, and maintaining relationships with both internal teams and external partners.Essential Job Functions:
Leads the onboarding, training, and ongoing support of staff to ensure consistency in workflows, policies, and best practices.
Monitors self-pay balances and ensure timely follow-up on outstanding accounts across multiple systems.
Develops and maintains standardized processes to improve revenue cycle operations and ensure compliance.
Assists with daily operations, troubleshoots issues, and collaborates with the team to meet department goals.
Ensures all activities align with federal and state regulations, payer guidelines, and financial assistance programs.
Oversees payment processing activities, including manual receipt posting and reconciliation.
Helps uninsured and underinsured patients access community care programs and resources.
Works with leadership, internal departments, and external partners to ensure efficient service delivery and improve patient advocacy by serving as the point of contact for external partners to ensure smooth payment processing and data exchanges, conducting audits and ensure compliance with internal policies and external regulations, contributing to strategic planning and continuous quality improvement efforts and performing other duties as assigned or needed to meet the needs of the department/organization.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Education:
• Preferred: Bachelors - Related FieldWork Experience:
• Required: An equivalent combination of education and experience Related ExperienceLanguage Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands :
• Sit: Continuously (67-100%)• Stand: Occasionally (5-33%)• Walk: Occasionally (5-33%)• Stoop/Bend: Occasionally (5-33%)• Reach: Frequently (34-66%)• Crawl: Not Applicable• Squat/Crouch/Kneel: Occasionally (5-33%)• Twist: Occasionally (5-33%)• Handle/Finger/Feel: Continuously (67-100%)• See: Continuously (67-100%)• Hear: Continuously (67-100%)Weight Demands:
• Lift -Floor to Waist Level: Light (10-20 pounds)• Carry: Light (10-20 pounds)• Push/Pull: Sedentary (<10 pounds)• Slide/Transfer: Not ApplicableWorking Conditions:
• Indoor: Continuously (67-100%)• Outdoor: Not Applicable• Extreme Temperature: Not ApplicableDriving Requirement Definitions:
- Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position:
Infrequent DriverReference ID: R7114Making a real difference. For one another.
To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.
At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)
