Manager, Patient Accounts

Roswell Park Cancer Institute; Seattle (WA); On-site; USD 82,000 - 100,000; Full time

Job summary

Roswell Park Comprehensive Cancer Center is seeking a Manager of Patient Accounts to lead a team responsible for processing, reconciling, and collecting patient account transactions while delivering compassionate service.

You'll collaborate with leaders across the organization to ensure compliance, accuracy, and efficient financial operations, oversee budgets and forecasting, and drive process improvements balancing financial stewardship with patient experience.

Qualifications

• Experience leading teams in healthcare revenue cycle, patient accounts, billing, collections, accounting, or financial operations.
• Strong knowledge of financial transaction processing, account reconciliation, collections, and reporting practices.
• Demonstrated leadership abilities with experience coaching, developing, and motivating employees.
• Excellent analytical and problem-solving skills.
• Strong organizational skills and attention to detail.
• Experience developing and improving operational processes and controls.
• Knowledge of healthcare regulations, privacy requirements, and compliance standards.
• Ability to manage multiple priorities while maintaining high levels of accuracy and customer service.
• Strong communication and relationship-building skills.
• Experience preparing budgets, forecasts, financial reports, or audit documentation is highly valued.

Responsibilities

• Lead the daily operations of the patient accounts department, ensuring accurate and timely processing of financial transactions.
• Oversee posting, reconciliation, collection activities, and customer service functions.
• Monitor productivity, workflows, and performance metrics to ensure operational efficiency and service excellence.
• Review collection activities, account follow-up efforts, and transaction processing to identify and resolve discrepancies.
• Assign projects and responsibilities to team members while ensuring deadlines and service expectations are met.
• Provide training, coaching, technical support, and ongoing development opportunities for staff.
• Respond to complex customer concerns and collaborate with patients, internal departments, and external partners to achieve timely resolution.
• Establish and maintain operational controls that support compliance, accuracy, and financial integrity.
• Develop, maintain, and improve departmental policies, procedures, and best practices.
• Prepare and manage departmental operating and capital budgets while monitoring financial performance.
• Support forecasting and financial planning activities, including bad debt and contractual allowance analysis.
• Prepare reports and documentation required for audits, regulatory reviews, and government reporting.
• Ensure the confidentiality and security of patient and financial information.
• Partner with organizational leaders to identify opportunities for process improvement and operational excellence.

Skills

Team leadership

Revenue cycle knowledge

Account reconciliation

Financial reporting

Customer service

Analytical skills

Process improvement

Budgeting/forecasting

Regulatory compliance

Communication

Job description

Title: Manager, Patient Accounts

Job Type: Regular

Company: Roswell Park Comprehensive Cancer Center

Department: Patient Accounts

Time Type: Full time

Weekly Hours: 40

FTE: 1

Shift: First Shift (United States of America)

Summary

About the Role:
At Roswell Park Comprehensive Cancer Center, financial operations play an important role in supporting exceptional patient care. As the Manager of Patient Accounts, you will lead a team responsible for the accurate processing, reconciliation, and collection of patient account transactions while ensuring a positive experience for patients and their families.
This role combines leadership, financial oversight, customer service, and process improvement. You'll work closely with staff across the organization to ensure financial transactions are handled accurately, regulatory requirements are met, and patients receive responsive, solution-focused support throughout their financial journey.
If you are a collaborative leader who enjoys developing teams, improving processes, and balancing financial stewardship with outstanding customer service, this could be the opportunity for you.
The starting annual salary for this position is $90,678 and this can include a full comprehensive benefits package.

What You\'ll Do

• Lead the daily operations of the patient accounts department, ensuring accurate and timely processing of financial transactions.


• Oversee posting, reconciliation, collection activities, and customer service functions.


• Monitor productivity, workflows, and performance metrics to ensure operational efficiency and service excellence.


• Review collection activities, account follow-up efforts, and transaction processing to identify and resolve discrepancies.


• Assign projects and responsibilities to team members while ensuring deadlines and service expectations are met.


• Provide training, coaching, technical support, and ongoing development opportunities for staff.


• Respond to complex customer concerns and collaborate with patients, internal departments, and external partners to achieve timely resolution.


• Establish and maintain operational controls that support compliance, accuracy, and financial integrity.


• Develop, maintain, and improve departmental policies, procedures, and best practices.


• Prepare and manage departmental operating and capital budgets while monitoring financial performance.


• Support forecasting and financial planning activities, including bad debt and contractual allowance analysis.


• Prepare reports and documentation required for audits, regulatory reviews, and government reporting.


• Ensure the confidentiality and security of patient and financial information.


• Partner with organizational leaders to identify opportunities for process improvement and operational excellence.

What You\'ll Bring

• Experience leading teams within healthcare revenue cycle, patient accounts, billing, collections, accounting, or financial operations.


• Strong knowledge of financial transaction processing, account reconciliation, collections, and reporting practices.


• Demonstrated leadership abilities with experience coaching, developing, and motivating employees.


• Excellent analytical and problem-solving skills.


• Strong organizational skills and attention to detail.


• Experience developing and improving operational processes and controls.


• Knowledge of healthcare regulations, privacy requirements, and compliance standards.


• The ability to manage multiple priorities while maintaining high levels of accuracy and customer service.


• Strong communication and relationship-building skills.


• Experience preparing budgets, forecasts, financial reports, or audit documentation is highly valued.


• A patient-focused mindset with a commitment to resolving issues professionally and compassionately.

Why You\'ll Love Working Here

At Roswell Park, every employee contributes to a mission larger than themselves: reducing the burden of cancer through compassionate care, groundbreaking research, and innovation.

When you join our team, you\'ll find:

• Meaningful work that supports patients and families during important moments in their healthcare journey.


• The opportunity to lead a high-impact team within a nationally recognized cancer center.


• A collaborative culture where employees are respected, supported, and encouraged to grow.


• Opportunities for professional development and leadership advancement.


• An environment focused on innovation, continuous improvement, and operational excellence.


• The chance to partner with teams across the organization to improve both financial processes and patient experiences.


• The satisfaction of knowing your work helps support world-class cancer care and research.

Make an Impact

If you\'re a results-driven financial operations leader who enjoys building strong teams, improving processes, and delivering exceptional customer serv