Regional Business Office Manager/Director of AR

Skilled Healthcare Center -

Position Summary

The Business Office Manager is responsible for overseeing and managing all financial, billing, of the facility. The BOM ensures accurate resident billing, timely reimbursement, and proper handling of accounts receivable and payable. This role collaborates with the interdisciplinary team and maintains compliance with regulatory requirements.

Essential Functions & Responsibilities – Billing & Reimbursement

• Maintain accurate billing for Medicare, Medicaid, Managed Care, and private pay.
• Complete month-end closes and census reconciliation.
• Review PDPM billing components and payer rules.
• Monitor authorizations, coverage periods, and eligibility.
• Collaborate with MDS and Nursing for documentation compliance.

Accounts Receivable & Collections

• Monitor aging reports and follow up on outstanding balances.
• Communicate with families, insurers, and responsible parties.
• Establish payment arrangements when necessary.
• Maintain complete financial files for residents.

Admissions & Financial Counseling

• Participate in financial screening for admissions.
• Explain payer sources and financial responsibilities.
• Assist with Medicaid applications and renewals.
• Ensure completion of admission agreements and financial forms.

Accounts Payable & Cash Management

• Review invoices and prepare payments.
• Maintain petty cash and resident trust funds.
• Complete monthly trust reconciliations per regulations.
• Ensure accuracy and protection of all cash-handling processes.

Compliance & Regulatory

• Maintain compliance with CMS, Medicaid/MassHealth, HIPAA, and corporate policies.
• Prepare required documentation for audits and surveys.
• Ensure confidentiality of all resident information.
• Participate in QAPI as needed.

Leadership & Communication

• Supervise business office staff and provide ongoing training.
• Deliver high-quality customer service to residents and families.
• Participate in leadership meetings, stand-up, and IDT.
• Provide financial reports to the Administrator.

Qualifications

• High school diploma required; associate/bachelor degree preferred.
• Minimum 2 years billing or business office experience (SNF/LTC preferred).
• Strong knowledge of Medicare/Medicaid/Managed Care and PDPM.
• Experience with EHR/billing systems such as MatrixCare or PCC.
• Excellent communication, organizational, and analytical skills.

Physical Requirements

• Ability to sit for long periods at a computer.
• Ability to lift up to 25 pounds occasionally.
• Ability to move throughout the facility as needed.

Work Environment

• Office setting within a Skilled Nursing/Long-Term Care facility.
• Frequent interaction with residents, staff, and families.

Health Insurance & other benefits are available.