Business Office Manager ( BOM

Excelcare at Dover is seeking an experienced Business Office Manager (BOM) to oversee the daily financial and business office operations within our skilled nursing facility. The ideal candidate will have a strong understanding of healthcare billing, reimbursement, case management, collections, and Medicaid processes.

Located at 65 N Sussex St, Dover, NJ 07801

• Paid time off, paid sick time and paid holidays
• 401(k) with up to 5% matching
• Daily pay option
• Employee
  -only discounts, perks and rewards programs

• Oversee business office operations, including billing, accounts receivable, collections, and financial reporting
• Manage the revenue cycle process from admission through final account resolution
• Ensure accurate census management, payer information, and insurance authorizations
• Coordinate case management activities for skilled residents, including insurance reviews, continued stay authorizations, and appeals
• Work closely with Nursing, Therapy, MDS, Social Services, and Admissions to support reimbursement and discharge planning
• Assist residents and families with Medicaid applications and monitor pending eligibility cases
• Manage private pay accounts, patient liability collections, and payment arrangements
• Maintain resident trust accounts in compliance with state and federal regulations
• Ensure compliance with Medicare, Medicaid, HIPAA, and other regulatory requirements
• Prepare for audits and maintain accurate financial and billing documentation

• Minimum of 1 year of Business Office Management experience in a skilled nursing facility (SNF)
• Strong knowledge of Medicare, Medicaid, Managed Care, Commercial Insurance, and Private Pay billing
• Experience with accounts receivable, collections, and healthcare reimbursement processes
• Experience with Point Click Care  (PCC) or similar electronic medical record and billing systems preferred
• Strong organizational, communication, and problem-solving skills
• Experience with resident trust accounts and Medicaid processes is a plus

Excelcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.