Business Office Manager

The Business Office Manager leads the community’s business office operations and supports sound financial practices. This role works with residents, families, community leaders, and Home Office teams to ensure processes are accurate, timely, compliant, and service focused.

• Process payroll and related functions, verifying that hours, wages, premiums, approvals, and deductions are complete, timely, and accurate.
• Process and approve accounts payable invoices, maintain supporting documentation, and coordinate with Home Office Accounting to resolve discrepancies.
• Maintain cash-handling processes and support month-end close through reconciliations, reporting, account review, and timely resolution of outstanding items.
• Reconcile assigned financial accounts and records, including resident-related balances, deposits, capital expenditures, restricted funds, and refunds, in accordance with established controls.
• Assist the Executive Director with preparation, monitoring, and communication of the community budget and financial results, and manage the Administration department budget.

• Maintain accurate resident financial records and enter admissions, census changes, charges, adjustments, and payments into the billing system.
• Prepare and distribute required census, occupancy, private-pay, and other resident billing reports and statements accurately and on schedule.
• Coordinate collection activity with residents, responsible parties, Home Office partners, collection agencies, and legal counsel, as appropriate.
• Monitor accounts receivable aging and Days Sales Outstanding in collaboration with Home Office billing to promote timely and accurate payment.
• Maintain resident savings or trust accounts and distribute required statements in accordance with applicable requirements.

• Maintain Medicaid, Medicare, commercial insurance, and long-term care insurance records and assist residents and families with applications, claims, renewals, and benefit-related questions.
• Coordinate with government agencies and payer representatives to support complete, accurate, and timely processing of resident benefits.
• Administer assigned resident financial assistance, trust, representative payee, specialized account, agreement, and renewal processes in accordance with organizational and regulatory requirements.

• Coordinate community business systems and processes with Home Office partners and serve as the primary local resource for assigned business office functions.
• Prepare recurring financial, census, occupancy, staffing, licensure, survey, and operational reports accurately and on time.
• Assist with survey readiness, licensure renewal, records requests, audits, and compliance activities.
• Supervise assigned business office and administrative partners, including selection, training, performance management, and work coordination.
• Participate in community leadership, finance, utilization review, emergency preparedness, and other assigned meetings or committees.
• Support continuity of administrative and financial operations during the Executive Director’s absence, as delegated.
• Protect confidential resident, partner, and organizational information and comply with all applicable laws, regulations, policies, and internal controls.
• Perform other duties as assigned.

This job description is not meant to be an exhaustive list of duties or responsibilities and may change over time based on the strategy and needs of the organization.

• Associate degree in business, accounting, finance, healthcare administration, or a related…