Business & Accounting Office Manager

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Sandy Spring, MD, US

Salary Range: $70,000.00 To $85,000.00 Annually

Business & Accounting Office Manager – Accounting, Billing & Payroll

Friends House Retirement Community Sandy Spring, Maryland

Job Type: Full-Time | On-Site
Department: Finance & Administration
Reports To: Chief Financial Officer

Join Our Team at an Exciting Time of Growth!

Friends House Retirement Community is seeking an experienced, organized, and proactive Business Office Manager to oversee daily financial and administrative operations.

Located in Sandy Spring, Maryland, Friends House is an established, mission-driven senior living community offering Independent Living, Assisted Living, and Skilled Nursing services.

With plans for future community expansion, this is an exciting opportunity to join our team, work closely with leadership, and contribute to a growing organization.

The ideal candidate brings practical accounting knowledge, strong billing and collections experience, payroll processing skills, and a commitment to excellent resident service. This hands-on position combines financial operations with business office leadership and requires someone who takes initiative, works independently, and follows through.

Key Responsibilities

Accounting & Financial Operations

• Record and post cash receipts, bank deposits, and related transactions, ensuring accurate general ledger coding and documentation.
• Review accounts payable entries in Sage Intacct for accuracy, proper coding, supporting documentation, and approvals.
• Assist outside vendor with bank and general ledger reconciliations, investigate discrepancies, and resolve outstanding items.
• Support month-end accounting activities, financial schedules, reporting, and audits.
• Coordinate with internal and external accounting partners to maintain accurate and timely financial records.
• Review recurring vendor charges and assist with resolving invoice discrepancies.
• Follow established accounting procedures and internal controls.

Payroll – ADP Workforce Now

• Prepare and process bi-weekly payroll using ADP Workforce Now.
• Review timekeeping records, overtime, paid time off, and approved payroll adjustments.
• Coordinate with Human Resources and department managers to resolve payroll discrepancies and confirm required approvals.
• Maintain payroll records, prepare reports, and assist with payroll reconciliations and departmental expense allocations.
• Ensure accurate, timely, and confidential payroll processing.

Resident Billing, Accounts Receivable & Collections

• Manage resident billing for Independent Living, Assisted Living, and Skilled Nursing, including monthly charges, ancillary services, and account adjustments.
• Maintain accurate resident accounts and ensure timely preparation of billing statements.
• Monitor accounts receivable aging and directly follow up with residents, families, responsible parties, and payors on outstanding balances.
• Coordinate with outside billing and collection providers to track claims, denials, appeals, reimbursements, and collection efforts.
• Investigate billing discrepancies, unapplied payments, and overdue accounts.
• Coordinate payment arrangements and escalate difficult-to-collect accounts as appropriate.
• Prepare AR aging reports and collection updates for the CFO.
• Assist with documentation supporting account adjustments and proposed write-offs.
• Coordinate Medicare, Medicaid, managed care, private-pay, and other applicable billing activities.
• Work with outside billing specialists, clinical teams, and Medicaid caseworkers to resolve eligibility, documentation, and reimbursement issues.
• Assist…