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, including census, ancillaries, billing, adjustments, deposits, collections, Medicaid Pending and resident funds. The BOM must also have a working knowledge of accounts payable and oversee all business office functions, ensuring policy and procedure compliance in all related areas. The BOM must strive to meet all RCM goals and regularly supervises 2 or more full‑time employees within the center’s business office/administration department.

• Manages, trains, organizes, evaluates and monitors business office staff, delegating administrative authority as necessary.
• Responsible to meet deadlines for approving timecards and requests for time off for direct reports in relation to center’s payroll cycle.
• Ensures systems and controls are in place, adhering to all policy and procedures outlined in policy manuals and meeting 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, ensuring strict compliance with all state and federal regulations as well as company policies and maintaining confidential files.
• Conducts a 72‑hour financial meeting with new admissions (resident and/or responsible party), reviewing uploaded admission files and reporting missing financial information to center team.
• Complies with and monitors staff compliance with segregation of duties for cash handling and posting.
• Ensures residents/responsible parties are re‑educated upon discharge to explain 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.
• Ensures private advance billing is completed according to scheduled date and deadline; manages all month‑end processes, including data entry, review and correction of trial claims, census reconciliation and other checklist tasks.
• 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 such as bad debt expense, cash collections, private credit reduction and other goals as communicated by RCM leadership; analyzes bad debt expense results and develops action plans for improvement as applicable.
• Participates in routine Revenue Cycle Management Reviews and maintains collection notes in the PCC collection module for payers the center is responsible for, keeping Center Executive Director abreast of collection issues and requesting escalation as needed.
• Recommends and prepares accounts for outside agencies, attorneys, and write‑offs as applicable.
• Attends center morning meetings, IDT/UM/UR meetings and other center or RCM required meetings and calls.
• Participates in all BOM training sessions, implements new processes with business office staff, follows the RCM calendar and reviews monthly RCM Newsletter.
• Prepares documentation for internal and external auditors; works with Revenue Cycle Manager to help resolve G/L variances.
• Puts customer service first:
  Ensures that residents and families receive the highest…