Business Office Manager

Service Line:
Senior Living / Post-Acute Care

Schedule:

Full-Time

A growing senior care organization is looking for a highly organized, detail-driven, and customer-focused Business Office Manager to join our team.

This is a key business office role for someone who can manage multiple priorities, meet deadlines, and take ownership of important financial and administrative functions from start to finish. The right person will be comfortable handling resident billing, accounts receivable, accounts payable, financial conversations, and team oversight while providing excellent service to residents, families, and internal team members.

This is not an assistant role. We are looking for a strong, self-directed professional who can see what needs to be done, follow through without being micromanaged, and keep the business office running with accuracy, urgency, compassion, and professionalism.

As the Business Office Manager
, you will support key financial, administrative, and customer service functions for the community. You will be responsible for resident billing, accounts receivable, collections support, accounts payable, concierge team oversight, and business office operations.

• Manage resident billing, accounts receivable, and collection-related activities.
• Communicate with residents, families, and responsible parties regarding financial responsibilities, payment expectations, insurance responsibilities, and account status.
• Handle financial conversations with professionalism, compassion, confidence, and follow-through.
• Complete prepaid and private pay collection activities, including collection calls after a guest has discharged.
• Support Medicaid processes, including assisting families with DHHS documentation, application follow-up, annual reviews, and case worker communication.
• Support Medicare and Medicaid-related business office processes, documentation, tracking, and follow-up.
• Manage resident trust, financial communication, and related support for residents and responsible parties.
• Process daily bank deposits, census reporting, ancillary charge posting and reconciliation, and petty cash.
• Complete accounts payable support, including processing transactions in the electronic A/P system and assisting with billing questions or disputes.
• Supervise, schedule, and provide oversight for concierge team members.
• Assist with front desk coverage as needed.
• Support onboarding processes, including facility onboarding, uniforms, name tags, packets, and related administrative needs.
• Maintain business office organization, including calendars, supplies, copier care, emergency call tree updates, and administrative tracking.
• Assist with admission paperwork for guests and families as needed.
• Support customer satisfaction survey processes and ensure follow-up items are completed timely.
• Partner with leadership and team members while maintaining confidentiality, professionalism, and strong customer service.

We are looking for someone who is organized, accountable, and confident managing both financial details and customer-facing conversations.

The right candidate will be a strong multitasker who understands deadlines, pays close attention to detail, and can balance compassion with the confidence needed to discuss billing, payment expectations, and financial follow-up. This role requires someone who can take direction, but also work independently, identify what needs to be done, and see tasks through to completion.

• Experience in business office, billing, accounts receivable, accounts payable, administrative operations, or a similar role.
• Experience with Medicare and Medicaid processes strongly preferred.
• Senior living, skilled nursing, post-acute care, healthcare, or long-term care experience highly preferred.
• Comfort having financial conversations with residents, families, and responsible parties, including asking for payment when needed.
• Strong attention to detail with billing, documentation, deadlines, deposits, reconciliation, and follow-up.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong organization skills and the ability to track open items through completion.
• A self-directed work style with strong accountability and follow-through.
• Confidence supervising and scheduling a customer-facing team.
• Excellent customer service skills with compassion, patience, and professionalism.
• Ability to communicate clearly, directly, and respectfully with residents, families, leaders, and team members.
• A positive, solution-focused approach with the ability to stay professional under pressure.
• Strong computer skills, including Microsoft Office and the ability to learn business office systems.

• High school diploma or equivalent required.
• Post‑high‑school clerical training, business coursework, or degree with business emphasis preferred.
• At least one year of administrative or business office experience required.
• Healthcare, senior living, skilled nursing, or…