Business Office Manager

The Business Office Manager plays a key role in supporting the financial operations of the facility while ensuring exceptional service to residents, families, and staff.

This position oversees billing, collections, resident trust accounts, Medicaid/Medi-Cal processes, and business office operations.

The ideal candidate will possess strong medical billing and accounting skills, excellent organizational abilities, and maintain a positive, friendly, and professional approach in all interactions.

Essential Duties and Responsibilities

Business Office Operations


* Manage daily business office functions and supervise business office staff.


* Schedule, assign, and monitor work assignments to ensure operational efficiency and timely completion of tasks.


* Provide coaching, performance feedback, and corrective action when necessary.


* Maintain facility census records and report all census changes accurately and timely.


* Attend stand-up and operational meetings as requested by the Administrator.

Billing and Financial Management


* Perform skilled nursing facility billing functions, including Medicare, Medicaid/Medi-Cal, managed care, and private pay accounts.


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


* Monitor accounts receivable and conduct collection activities to reduce outstanding balances and bad debt.


* Prepare bank deposits and assist with payment posting and reconciliation processes.


* Manage resident trust funds, including maintaining accurate records and preparing monthly trust account statements.


* Assist with financial reporting and other accounting-related duties as assigned.

Medicaid/Medi-Cal Administration


* Assist residents and families with Medicaid/Medi-Cal application processes.


* Prepare and submit Treatment Authorization Requests (TARs) as required.


* Track Medicaid/Medi-Cal eligibility and redetermination deadlines to ensure uninterrupted coverage and reimbursement.

Qualifications

Education & Experience


* High school diploma or equivalent required.


* Medical billing and accounting experience is required.


* Minimum one year of experience in a skilled nursing facility, long-term care setting, or healthcare business office preferred.


* Knowledge of Medicare, Medicaid/Medi-Cal, managed care billing, and accounts receivable processes strongly preferred.


* Experience with PointClickCare (PCC) preferred.


* Proficiency in Microsoft Office applications, including Excel, Word, Outlook, and electronic billing systems.

Skills & Competencies


* Strong understanding of healthcare reimbursement and long-term care billing practices.


* Excellent accounting, bookkeeping, and organizational skills.


* Ability to maintain confidentiality and handle sensitive financial information.


* Strong analytical and problem-solving abilities.


* Effective verbal and writte...