Regional Business Office Manager​/Director of AR

Job 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.

• 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.

• 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.

• 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.

• 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.

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

• 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.

• 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 Matrix Care or PCC.
• Excellent communication, organizational, and analytical skills.

• Competitive wages + shift differentials
• Weekly pay!
• 6 paid holidays
• Medical, dental, and vision insurance
• Long- and short-term disability insurance
• Paid time off (PTO)
• 401(k)
• On-site employee education and a supportive work environment

• A dynamic and supportive work environment
• Opportunities for professional growth and development
• A chance to make a real difference in the lives of our patients
• A comprehensive benefits package that includes medical, dental, and vision insurance, paid time off, and more
• A competitive salary and referral bonus program
• Complimentary employee meals and more