Billing and Collections Manager  

Business Office Manager / Billing & Collections Manager

City View Post Acute | San Francisco, CA

Lead the Business Office.

Make an Impact.

City View Post Acute is seeking an experienced and detail-oriented Business Office Manager / Billing & Collections Manager to join our leadership team.

This is a full-time position responsible for overseeing business office operations, billing, collections, authorizations, resident financial services, and other key financial processes within our skilled nursing facility.

The ideal candidate will have strong Skilled Nursing Facility (SNF) experience and a solid understanding of Medi-Cal/Medicaid, managed care, SNF billing, authorizations, collections, and resident trust accounts.

Position Details


* Salary: $90,000-$100,000+ per year, DOE


* Full-Time


* Comprehensive benefits package


* SNF experience required


* Leadership role within a skilled nursing facility

What You'll Do

As the Business Office Manager / Billing & Collections Manager, you will oversee daily business office operations while ensuring billing, collections, authorizations, and financial processes are completed accurately and on time.

Key responsibilities include:


* Oversee day-to-day business office operations and ensure established procedures are followed.


* Manage and maintain managed care and Medi-Cal/Medicaid authorizations, including bed-hold authorizations.


* Assist with the management of the resident trust fund, including preparing, printing, and distributing monthly statements.


* Supervise, train, schedule, and support business office staff.


* Provide performance guidance and take appropriate disciplinary action when necessary.


* Maintain accurate facility census information and communicate resident status changes.


* Assist residents and families with Medi-Cal/Medicaid applications and follow up as needed.


* Track Medi-Cal/Medicaid redeterminations and ensure required documentation is completed timely.


* Prepare TARs as needed.


* Support billing and payment processes, including preparing and processing bank deposits.


* Monitor outstanding accounts and conduct collection activities related to bad debt.


* Ensure accurate and timely billing to residents, insurance providers, managed care organizations, and government payers.


* Follow up on outstanding balances, denials, rejected claims, and unpaid accounts.


* Maintain accurate financial, billing, census, and business office records.


* Ensure business office staff are appropriately scheduled and assigned to meet facility needs.


* Monitor work completion and ensure business office responsibilities are handled accurately and timely.


* Participate in stand-up meetings and other facility meetings as requested by the Administrator.


* Maintain confidentiality and comply with HIPAA, applicable regulations, and facility policies.


* Perform other duties as assigned by the A...