Senior Business Office Manager

At Nashua Post Acute and Healthcare Center, we believe that strong financial stewardship and exceptional customer service are essential to supporting outstanding resident care. Guided by our core values of Passion, Respect, and Excellence, the Business Office Manager oversees the center's financial operations while ensuring accurate billing, regulatory compliance, and outstanding service for residents, families, and team members.

The Senior Business Office Manager has the experience, assertiveness, and professionalism to lead the business office team and take ownership of collection and account resolution. This position requires a hands‑on leader who can set clear expectations, hold team members accountable, and confidently manage challenging financial conversations with residents and families. The Senior Business Office Manager will serve as the primary escalation resource for unresolved balances, missed payment commitments, and delays in providing information needed for Medicaid eligibility and payer coverage.

The ideal candidate combines strong technical knowledge of skilled nursing billing with persistence, diplomacy, and the ability to move difficult situations toward resolution while treating residents and families with dignity and respect.

• Lead, train, and support the business office team, establishing clear priorities, responsibilities, and performance expectations.

• Monitor follow‑up activity, deadlines, and outstanding issues to ensure timely completion.

• Coach staff on collections, documentation, family communication, and problem‑solving.

• Take ownership of escalated accounts and intervene when routine follow‑up has not produced results.

• Keep the Administrator and corporate team informed of significant financial risks, barriers, and recommended next steps.

• Skilled Nursing experience required.

• Minimum of two (4+) years of bookkeeping or business office experience within a healthcare setting, including accounts receivable, accounts payable, billing, collections, and financial record management.

• Experience leading others or supervisory experience.

• Prior experience in a Long‑Term Care, Rehabilitation, or Post‑Acute Care setting preferred.

• Strong knowledge of billing processes, collection practices, reimbursement systems, and financial best practices.

• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook.

• Exceptional communication and interpersonal skills, with the ability to interact professionally and compassionately with residents, families, employees, vendors, and community partners.

• Demonstrated ability to build positive relationships and foster trust through collaboration, accountability, and respect.

• Strong customer service mindset with a commitment to creating positive experiences for residents, families, and team members.

• Highly organized with exceptional attention to detail and accuracy.

• Proven ability to effectively manage multiple priorities in a fast‑paced environment while maintaining a positive attitude.

• Strong problem‑solving skills with the ability to identify opportunities for process improvement and operational excellence.

• Ability to maintain confidentiality and exercise sound judgment when handling sensitive information.

• Passion for supporting the mission of providing exceptional care and services to residents and their families.

Passion – Supporting residents and families through accurate financial services and exceptional customer care.

Respect – Building trust through professionalism, confidentiality, and compassionate communication.

Excel…