Executive Director

Do you want stability and longevity in your career? Are you dedicated to resident care and looking for competitive compensation?! If YES… Watertown Health Care Center is looking for YOU!

Watertown Health Care Center is a skilled nursing home facility and takes pride in providing our residents with an amazing experience. We have an incredible tight-knit family of caregivers that serves our residents everyday with compassion, care and a positive attitude! We value and work hard to appreciate our caregivers because we recognize they are the foundation of our organization. We would love for you to join that family, as we are currently recruiting for an Executive Director of Business Office to join our team!

• Health, Dental and Vision offerings
• Tuition Reimbursement
• Paid Time Off
• 401k matched at 10%
• Flexible Hours (8-hour shifts)
• Paid Holidays

Oversee and manage all business office functions including billing, collections, resident trust accounts, and vendor payments.

Prepare, review, and submit monthly financial reports to the Administrator and corporate office.

Ensure accurate and timely submission of Medicare, Medicaid, and private insurance claims.

Monitor accounts receivable and follow up on unpaid balances to maintain healthy cash flow.

Process and reconcile resident trust funds in compliance with state and federal regulations.

Maintain accurate ledgers and records for all financial transactions.

Coordinate with admissions and social services to ensure accurate completion of financial portions of resident admission and discharge documentation.

Assist residents and families in understanding their financial responsibilities and available payment options.

Review and update resident billing files to ensure accuracy and completeness.

Oversee payroll processing in coordination with the corporate payroll department.

Maintain employee time and attendance records, ensuring accuracy and compliance with facility policies.

Assist with benefits administration, onboarding, and employee record management as needed.

Ensure all financial practices comply with federal, state, and local regulations as well as company policies.

Participate in audits, surveys, and inspections, providing necessary documentation and explanations.

Maintain confidentiality of resident and employee information at all times.

Supervise business office staff, providing training, support, and performance feedback.

Collaborate with department heads to support overall facility operations and goals.

Communicate effectively with residents, families, and external agencies to resolve billing or financial concerns professionally and compassionately.

Associate or Bachelor’s degree in Accounting, Business Administration, Finance, or a related field preferred.

Minimum of 2–3 years of experience in healthcare financial management; long-term care experience strongly preferred.

Experience with Medicare, Medicaid, and third-party billing processes required.

Knowledge of general accounting principles and regulatory requirements for long-term care facilities.

Strong organizational and analytical skills with attention to detail.

Excellent interpersonal and communication abilities.

Proficiency in Microsoft Office Suite (especially Excel) and healthcare billing software (e.g., Point Click Care , Matrix Care).

Ability to manage multiple priorities in a fast-paced environment.

Demonstrated leadership and team management skills.

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