Dir, Patient Financial Service

Rochester, NY


Directs overall initiatives, collection activities, objectives, policies, regulatory requirements, cash management, chargemaster, and PFS revenue cycle analytics related to UR Medicine’s hospitals’ accounts receivables. Coordinates the completion of revenue cycle activities with Senior Leadership in other internal departments in the hospitals. Responsibilities also includes managing three operating budgets, and management of resources in accordance with organizational priorities.


  • Manages hospital receivables by observing trends, identifying problem areas and directing actions to resolve any deficiencies. Addresses negative trends with responsible Assistant Director, Rev Cycle. Develops, recommends and implements financial policies and procedures relating to receivables. Evaluates impact on receivables caused by the activities of other departments and acts as a liaison between Patient Financial Services (PFS) staff and other Hospital departments, third party agencies, insurance companies and patients, to conduct activities and solve problems

  • Directs, coordinates and evaluates the activities of several Assistant Directors (AD) under own supervision. Assists ADs and their managers in setting standards, assigning priorities and evaluating staffing plans. Guides ADs and Managers in monitoring and controlling the activities of their staff. Plans, directs, and evaluates the work of staff; complies with human resources management regulations; ensures adequate staffing levels; makes employment decisions, establishes performance standards, and evaluates employee performance; educates, guides, counsels, and develops staff; and addresses performance management concerns.

  • Develops and prepares budgetary plans, programs, and guidelines to ensure the department’s adherence to financial guidelines and requirements. Ensures that operating expenses are well within the prescribed limits of budget plans and fiscal guidelines

  • Establishes and maintains a positive working relationship with management of other hospital departments, to advise them of Hospital billing and collection policies and procedures. Makes recommendations on policies of other departments that affect Hospital receivables. Serves on several internal teams and on committees with Senior Leadership. Takes the lead on billing related projects as needed that impact several URMC entities. Assures appropriate activities are done to successfully complete assigned Hospital projects.

  • Acts as a liaison between Patient Financial Services staff and management staff in the Information Systems Department to identify and prioritize projects that will support established objective and policies.

Other duties as assigned


  • Bachelor’s degree in Business Administration or related discipline required

  • Master's degree in Business Administration or equivalent graduate training preferred

  • A minimum of 8 years of relevant work experience including substantial work at a leadership level in a billing office; or an equivalent combination of education and experience.

  • Prefer strong working knowledge of hospital billing software applications, Epic preferred, third party and governmental billing and reimbursement procedures, and collections required.

  • Hospital reimbursement methodology; AR management.

  • Management of large departments (250+) with multiple job families

  • Healthcare Financial Management Association Certification preferred

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $176,405 - $282,256 Annually

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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Location: Strong Memorial Hospital
Full/Part Time: Full-Time