Business Office Manager

Business Office Manager – Genesis Healthcare

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Base pay range: $60,000.00/yr - $75,000.00/yr.

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.

Healthcare is evolving. Patients and their families expect more from healthcare centers and team members – they expect a well‑evaluated, personalised quality of service that meets them where they are. They expect skilled practitioners and experts that push the boundaries of ordinary service to excellence in care. This is a new era of skilled nursing and long‑term care – one that empowers and nurtures, leads with compassion, and leaves a lasting impression.

• Are you experienced in driving Revenue Cycle Management (RCM) performance at the centre level, with a focus on measurable outcomes?
• Can you lead and improve all aspects of the revenue cycle—from pre‑admission through discharge—to maximise timely and accurate revenue collection?
• Do you thrive in a collaborative environment, working closely with Market leaders and support teams to achieve positive accounts receivable (AR) outcomes?
• Are you confident in identifying training needs and communicating them effectively to ensure continuous performance improvement across your team?
• Do you consistently demonstrate a strong understanding of your responsibilities and ensure tasks are executed with attention to detail and timeliness?
• Are you comfortable working cross‑functionally with departments like Admissions, Clinical Reimbursement, and Social Services to maintain accurate and compliant patient account management?

As a Business Office Manager, you’ll oversee the full spectrum of revenue cycle management functions—from pre‑admission to discharge. Your focus will be on optimising collections, ensuring compliance, and leading a high‑performing business office team that may include Assistant Business Office Managers, Bookkeepers, and Receptionists.

• Lead day‑to‑day revenue operations including census management, billing, collections, adjustments, and Medicaid tracking.
• Collaborate across departments including Admissions, Clinical Reimbursement, and Social Services to ensure accurate and timely patient account management.
• Act as a financial liaison during the resident journey—from conducting financial interviews during admission to assisting with discharge obligations.
• Support compliance with state, federal, and corporate guidelines—including cash handling procedures and segregation of duties.
• Use your expertise in revenue cycle performance metrics (bad debt, cash collections %, AR ageing, and DSO) to identify challenges and develop sustainable, action‑oriented solutions.
• Partner with Market RCM leaders to align with broader business office initiatives and access tools and support as needed.

• A high school diploma or equivalent is required.
• A degree or post‑secondary education or additional coursework in accounting or finance is preferred.
• At least five years of experience in billing and collections is required—experience in billing and collections in a long‑term care setting is preferred.
• A strong understanding of RCM systems, processes, and performance metrics.
• A collaborative mindset with the ability to lead and develop a business office team.
• Confidence and professionalism in working with residents, families, and centre leaders.

• Variable compensation plans
• Tuition, travel, and wireless service discounts
• Employee assistance programme to support mental health
• Employee foundation to financially assist through unforeseen…