Regional Business Office Manager

Care Core Health is seeking an experienced, highly organized, and results-driven Regional Business Office Manager to oversee business office operations across multiple skilled nursing and long-term care facilities in Ohio.

The ideal candidate will have a strong background in skilled nursing facility (SNF) business office operations, exceptional leadership skills, and a proven ability to manage accounts receivable, Medicaid Pendings, and collections. This position requires a proactive, independent professional who can identify challenges, implement solutions, and ensure accountability across multiple facilities.

• Oversee and support Business Office Managers (BOMs) across 13 skilled nursing facilities.

• Monitor and manage accounts receivable, aging reports, Medicaid Pendings, private-pay collections, and resident income collections.

• Ensure timely and accurate billing, collections, and follow-up on outstanding balances.

• Provide training, guidance, and ongoing support to facility Business Office Managers.

• Establish clear expectations, monitor performance, and hold BOMs accountable for assigned responsibilities, deadlines, and financial goals.

• Identify performance concerns, provide constructive feedback, and implement corrective action plans when necessary.

• Review aging reports and financial performance to identify trends, collection opportunities, and areas requiring improvement.

• Oversee Medicaid Pending applications, redeterminations, and follow-up to minimize delays in reimbursement.

• Ensure compliance with applicable Medicare, Medicaid, and other payer requirements.

• Conduct regular business office reviews and audits to ensure accuracy, consistency, and compliance.

• Collaborate with facility Administrators, regional leadership, and corporate teams to address financial and operational concerns.

• Identify opportunities to improve processes, streamline workflows, and strengthen overall business office performance.

• Manage competing priorities across multiple facilities while ensuring consistent follow-through and timely resolution of issues.

• Minimum 3 years of Business Office Manager experience in a skilled nursing or long-term care setting required.

• Previous regional or multi-facility business office oversight experience strongly preferred.

• Strong working knowledge of Ohio Medicaid and Point Click Care  (PCC) required.

• Extensive experience with Medicaid Pendings, accounts receivable, aging management, private-pay collections, and resident income collections.

• Strong understanding of Medicare, Medicaid, Managed Care, and third-party billing processes.

• Demonstrated experience training, supervising, and holding Business Office Managers or business office teams accountable.

• Proven leadership skills with the ability to identify performance concerns, coach employees, and drive measurable improvements.

• Highly organized with the ability to manage multiple facilities, deadlines, and competing priorities.

• Self-motivated and proactive, with the ability to independently identify issues, develop solutions, and follow through without ongoing direction.

• Excellent communication, analytical, and problem-solving skills.

• Proficiency in Microsoft Office, particularly Excel, and financial reporting.

• Ability and willingness to travel regularly between assigned facilities.

Care Core Health offers a competitive benefits package, including:

• Medical, Dental, and Vision Insurance

• Paid Time Off and Paid Holidays

• Mileage reimbursement for approved business-related travel between facilities.

• 401(k) Retirement Plan

• Supplemental Insurance Options

• Life Insurance

• Employee Discount Program

• Continuing Education Opportunities

At Care Core Health, we are committed to supporting our facilities with strong leadership, operational excellence, and a collaborative approach to success. We are looking for a Regional Business Office Manager who takes ownership of their responsibilities, leads by example, and is committed to developing strong, accountable business office teams.