Business Office Manager

Salary

$28.60 / hr - $37.92 / hr

Overview

Business Office Manager

Bring Financial Expertise. Support Families. Make a Difference at Elderwood.

Mattapan Health & Rehabilitation Center and West Roxbury Health & Rehabilitation Center are seeking a dependable, detail-oriented, and compassionate Business Office Manager to support the financial and administrative operations of both skilled nursing and rehabilitation communities.

The Business Office Manager is responsible for the timely input of information within the accounting systems at the nursing facility and those which interface with the home office. The Business Office Manager directs the overall administrative activities in accordance with current applicable Federal, State and local standards, guidelines and regulations, and as directed by the supervisor, to ensure the proper administrative procedures are always maintained.

The ideal candidate will bring a strong background in healthcare accounts receivable (A/R), with a primary emphasis on Massachusetts Medicaid long-term care (LTC) billing and Medicaid-pending account management. Experience navigating Medicaid eligibility requirements, monitoring pending applications, coordinating required documentation, and following up on outstanding determinations is essential to supporting the financial operations of our skilled nursing communities. A general working knowledge of Medicare, private pay, and third-party insurance is also important, along with familiarity with PointClickCare (PCC), the resident management and billing software utilized by the facilities.

This role combines financial accountability with meaningful human interaction. Whether you're helping a family navigate the Medicaid application process, monitoring pending accounts, following up on outstanding balances, or ensuring the facility's financial records are accurate, your work directly contributes to a well-run community and a positive experience for residents and their families.

A Trusted Resource for Residents, Families & Leadership

The Business Office Manager is more than a financial administrator. You'll be a trusted resource for residents and responsible parties during what can often be an unfamiliar and complicated process.

You'll have the opportunity to:

• Guide families through the financial side of care, including private pay, Medicare, Medicaid, insurance coverage, and resident account procedures.
• Strengthen financial operations by maintaining accurate billing, collections, account reconciliation, deposits, census records, and month-end processes.
• Support Medicaid eligibility and applications, helping families gather documentation and navigate requirements while communicating with county Medicaid offices.
• Partner with facility leadership and Revenue Cycle Management to identify outstanding receivables, address account concerns, and support the financial health of the community.
• Lead and support business office staff, providing guidance, training, organization, and best-practice support.
• Maintain the highest standards of confidentiality and compliance, particularly when handling sensitive resident financial and personal information.

Benefits & Perks

• Tuition Reimbursement Programs
• 401(k) with Employer Matching
• Generous Paid Time Off & Holiday Package
• Excellent Medical, Dental & Vision Benefits
• Employee Referral Program
• And more!

Bring Your Expertise to a Role That Makes a Difference

The best Business Office professionals know that their work is about more than numbers and accounts. It's about helping residents and families navigate important decisions with clarity, compassion, and confidence.

At Elderwood, you'll have the opportunity to bring your financial and administrative expertise to an environment where accuracy matters, relationships matter, and the work you do behind the scenes directly supports the people we care for every day.

Be the Person Families Can Count On.

If you're an experienced business office professional who takes pride in accuracy, accountability, problem-solving, and helping others, we'd love to hear from you.

Join the Business Office team supporting Mattapan Health & Rehabilitation Center and West Roxbury Health & Rehabilitation Center and grow your career with Elderwood.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Sets up and maintains financial files for resident billing, admission papers, State and Medicare documents
• Performs routine collection calls
• Meets with residents/responsible parties to assist with Medicaid applications
• Meets weekly with Administrator on past due Private and Medicaid Pending accounts
• Inputs documentation on all collection activity into PCC
• Prepares daily census
• Reviews Payor Source Verification forms and ensures the patients set-up in PCC is accurate
• Posts all cash receipts, scans all checks received by the facility
• Maintains Resident Trust accounts
• Attends Medicare and Managed Care Meetings
• Completes Rep Payee forms
• Updates PCC with any changes in patient liability
• Orders office supplies/maintains budget
• Manages the month-end process which includes:
• Data Entry
• Census reconciliation
• Balancing cash collections
• Ensures all procedures are followed to achieve an accurate and timely month-end close
• Open and distribute mail
• Performs additional duties as assigned

From

Up to

Qualifications

Business Office Manager Educational Requirements and Qualifications

• Minimum of High school diploma or equivalent
• Knowledge of the use of office machines and computer equipment/programs
• Preferred experience in a business office setting; ideally SNF or AL, or physician group or other healthcare setting
• Previous supervisory experience
• Working knowledge of the community based and long term Medicaid program.
  • 1 or more years of experience in the Medicaid application process and requirements for eligibility
• Knowledge of medicare and managed care/ 3rd party insurance payers
• Provides support and gives guidance to other business office coordinators on an as needed basis under the direction of the SR Director of Revenue Cycle Management
• This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

Business Office Manager Skills/Competencies

• Problem Solving
• Direct experience with the state Medicaid eligibility requirements and working knowledge of application completion and documentation requirements.
• Customer Service
• Decision Making
• Excellent verbal and written communication skills
• Patient, tactful demeanor
• Strong attention to detail

EOE Statement

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.