Manager, Patient Accounts

10 Roswell Park Cancer Institute; Washington; 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 accurate processing, reconciliation, and collections of patient accounts. You will balance financial stewardship with excellent patient service and collaborate across departments to improve processes and controls.

The role involves budgeting, forecasting, and developing staff while ensuring regulatory compliance and data security.

Qualifications

• Bachelor’s degree in Business or related field with 5+ years in healthcare billing including supervisory/managerial experience.
• Associate’s degree in Business or related field with 7+ years in healthcare billing including supervisory/managerial experience.
• High School diploma with 9+ years in healthcare billing including supervisory/managerial experience.

Responsibilities

• Lead daily operations of the patient accounts department with accurate processing of financial transactions.
• Oversee posting, reconciliation, collection activities, and customer service functions.
• Monitor productivity, workflows, and performance metrics for efficiency and service excellence.
• Review collection activities and account follow-up to identify and resolve discrepancies.
• Assign projects and responsibilities to team members and ensure deadlines are met.
• Provide training, coaching, and development opportunities for staff.
• Respond to complex customer concerns and collaborate with patients and internal/external partners for timely resolution.
• Establish controls to support compliance and financial integrity.
• Develop and improve departmental policies, procedures, and best practices.
• Prepare and manage departmental budgets and monitor financial performance.
• Support forecasting and financial planning, including bad debt analysis.
• Prepare reports for audits and regulatory reviews.

Skills

Healthcare leadership

Team leadership

Customer service

Analytical skills

Process improvement

Regulatory compliance

Communication

multitask management

Education

Bachelor’s degree in Business or related field

Associate’s degree in Business or related field

High School diploma or equivalent

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)

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.

Qualifications

• Bachelor’s degree in Business or a related field and the equivalent of five (5) years of full-time experience in health care billing including eighteen (18) months experience in a supervisory, managerial, consultative, or executive capacity;
• Associate’s degree in Business or a related field and the equivalent of seven (7) years of full-time experience in health care billing including eighteen (18) months experience in a supervisory, managerial, consultative, or executive capacity;
• High School diploma or High School Equivalency diploma and the equivalent of nine (9) years of full-time experience in health care billing including eighteen (18) months experience in a supervisory, managerial, consultative, or executive capacity.

NOTE: Required degrees must have been granted by an accredited school, college or university or one recognized by Roswell Park Comprehensive Cancer Center as following acceptable educational practices.

Equal Employment Opportunity Statement

Roswell Park Cancer Institute Corporation (RPCIC) is committed to equal employment opportunity.

We do not discriminate against employees, applicants, or job seekers on the basis of any characteristic protected by applicable federal, state, or local law.

Employment decisions are based on qualifications, performance, and business needs.

We are committed to maintaining a fair, respectful workplace where employees are valued for their contributions and supported in advancing our mission.

Reasonable Accommodation Request

RPCIC is committed to providing reasonable accommodations to qualified individuals with disabilities. If you need a reasonable accommodation for any part of the application process, employment process, or to perform your job, please contact [e-mail] and provide information about your request and preferred contact method.

Our Core Values

RPCIC is committed to fostering an environment where patients, families, employees, volunteers, and members of our community are treated with dignity, courtesy, and respect. We believe our mission is strengthened when individuals contribute their experiences, perspectives, and ideas and work together toward a common purpose. Our actions are guided by our core values of Innovation, Integrity, Teamwork, Commitment, Compassion, and Respect.

Historical Compensation Information Statement

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at [phone] or via email at [e-mail].

Welcome to Roswell Park Comprehensive Cancer Center, America's first cancer center founded in 1898 by Dr. Roswell Park. As one of the largest employers in Western New York, Roswell has over 3,300 employees, including over 200 physicians and scientists and 400 nurses. It’s a new era at Roswell Park. Leading the way in cancer research, treatment and education for more than a century, today Roswell Park is setting our course for a second century of extraordinary advances in cancer research and treatment. Equipped with the best facilities, the sharpest and most creative minds, and the single objective of curing cancer, we stand on the threshold of historic discovery.