Business Office Manager

Overview

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you’re an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles.

Join us in our mission to enhance the well‑being of our patients and residents while making a meaningful impact in the communities we serve.

The Business Office Manager (BOM) must be familiar with company policies and procedures related to all areas of Revenue Cycle Management, which includes census, ancillaries, billing, adjustments, deposits, collections, Medicaid Pending and resident funds. The BOM must also have a working knowledge of accounts payable. The BOM oversees all business office functions and is responsible for ensuring policy and procedure compliance in all related areas.

The BOM must strive to meet all RCM goals. This position regularly supervises two or more full-time employees (or equivalent) within the center’s business office/administration department which may include an Assistant Business Office Manager, bookkeepers, and receptionists. The BOM regularly interfaces with the Center Executive Director and other department heads, including admissions, clinical, and social service. The BOM works closely with the Revenue Cycle Manager in their market for training and support and communicates regularly with the Centralized Billing Office (CBO).

They also interface with responsible parties, attorneys and outside agencies on financial issues.

• Manages, trains, organizes, evaluates and monitors business office staff, delegating administrative authority, responsibility and accountability to other office personnel as necessary.
• Responsible for meeting deadlines for approving timecards and requests for time off for direct reports in relation to the center’s payroll cycle.
• Ensures systems and controls are in place, adheres to all policy and procedures outlined in policy manuals and meets established daily, weekly and monthly deadlines.
• Follows RCM business processes and oversees timely and accurate completion of all business office functions in the areas of census, ancillaries, billing, adjustments, collections, write‑offs, refunds and deposits.
• Manages all Resident Trust Fund procedures and ensures strict compliance with all state and federal regulations as well as company policies, maintaining confidential files.
• Conducts 72‑hour financial meetings with new admissions (resident and/or responsible party) to explain financial obligations and paperwork, reviews uploaded admission files and reports missing financial information to the center team.
• Complies with and monitors staff compliance with segregation of duties for cash handling and posting.
• Ensures residents/responsible parties upon discharge are informed of any remaining financial obligations.
• Monitors private spend‑down and timely conversions to Medicaid Pending; manages Medicaid Pending tracking and all related processes including county escalation to obtain approvals and use of outside attorney for guardianship or assistance with uncooperative resident/family.
• Ensures private advance billing is completed according to scheduled date and deadline; manages all month‑end processes, including completion of data entry, review and correction of trial claims, census reconciliation and all other checklist tasks; ensures deadlines are met and month‑end close is completed by the established time on the third workday.
• Manages the center accounts receivable collection responsibilities for private pay following the collection timeline; manages collection of decentralized payers; ensures accurate census and billing information for the timely filing of third‑party claims.
• Strives to meet RCM goals which include bad debt expense, cash collections, private credit reduction and other goals as communicated by RCM…