Business Office Manager

St. Patrick's Manor
863 Central Street
Framingham, MA 01701, USA

• Pay or shift range: $80,000 USD to $90,000 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Business Office Manager

Come join us rick's Manor!A Faith-Based, Nonprofit, Short-Term Rehabilitation and Skilled Geriatric Care facility sponsored by the Carmelite Sisters for the Aged and Infirm, we've served the community since 1960.
Deficiency Free on Recent Survey!We are a place of life, a place of caring, and more importantly, a true home for our residents.

We are seeking to hire a Business Office Manager
.

The Senior Business Office Manager will also provide direct oversight, guidance, and support to the Junior Business Office Manager, ensuring accuracy, accountability, timely follow-up, and consistent application of Business Office procedures.

• $80K to $90K annually based on skills and experience.

Business Office Manager

Qualifications:

• High School diploma or the equivalent.
• 3+ years of business office, billing, AR, Medicaid, or revenue-cycle experience, preferably in a skilled nursing or long-term care setting.
• Prior supervisory or management experience required.
• Knowledge of Medicare, Managed Care, Medicaid Pending, NAMI, PPA, and payer eligibility required.
• Strong knowledge of New York Medicaid and long-term care reimbursement required.
• Expert proficiency with Point Click Care  (PCC) strongly preferred.
• Excellent organizational, analytical, and reconciliation skills.

Business Office Manager

Key Responsibilities:

• Oversee the daily operations of the Business Office and provide direction and supervision to assistant Business Office Manager.
• Review and monitor work completed by the Junior Business Office Manager for accuracy, completeness, and timely follow-up.
• Train, mentor, and support Business Office staff and promote consistent adherence to facility procedures.
• Manage and monitor Medicaid applications, pending cases, renewals, eligibility, and follow-up.
• Oversee payer eligibility, Managed Medicaid, Medicare, authorizations, LOC, NAMI, and PPA.
• Maintain accurate census and Payer Tree information in Point Click Care  (PCC).
• Provide financial counseling and support to residents and families.
• Oversee resident trust accounts, PNA distributions, statements, and petty cash.
• Participate in Medicaid/OMIG audits, Triple Check Meetings, and Private Pay AR reviews.
• Monitor Medicare days and required billing documentation, including NOMNCs and ABNs.
• Oversee private-pay collections and assist with resident and family billing questions.
• Maintain accurate and confidential financial records and support regulatory compliance.

We aim to create a supportive workplace where you are valued, compensated fairly and provided the tools to thrive!

St. Patrick’s Manor can offer you:

• Competitive Compensation
• Student Loan Forgiveness Guidance
• Health (Aetna), Dental and HSA with employer contribution
• Fully paid Vision Plan (Single)
• Benefits available 1 st of the mo. following 30 days
• Flexible Spending Account and AFLAC insurances
• Fully paid Life Insurance
• Retirement Plan
• Employee Assistance Program with Discount Marketplace

Please consider joining our team working where

The Difference is Love!

St. Patrick's Manor is an Equal Opportunity Employer and adheres to a policy that prohibits discrimination on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status, or any other legally protected class.

#AppNL
2026

: Considered a thought leader on a subject

: Capable of carrying out a given task with all details…