Business Office Manager

Overview:

Golden Years Homestead is seeking a highly organized and detail-oriented Business Office Manager to oversee financial operations in a long-term care retirement community setting. This role is responsible for resident billing, Medicaid coordination, accounts receivable/payable, and supporting audits and financial reporting. The ideal candidate will demonstrate strong communication skills, integrity, and a commitment to service excellence for residents and their families.

Key Responsibilities:

• Carry out duties and function to support the campus as assigned.
• Live the mission and values to improve the quality of services for residents and team members on the campus.
• Respect residents’ rights and adhere to rules of resident care and services as described in the Greencroft Team Member Handbook.
• Maintain confidentiality and privacy of all data, records, reports, and any other information regarding resident accounts.
• Foster values of quality improvement and customer service in all facets of work.
• Manage full-cycle billing and collections for private pay, insurance, and Medicaid resident accounts
• Oversee all aspects of Medicaid processes: eligibility, application, annual recertification, and level of care documentation
• Maintain accurate resident census data and daily updates to ensure billing accuracy
• Coordinate with admissions, case management, and finance teams to determine payer sources and complete financial disclosures
• Process and verify accounts payable, including vendor validation, proper authorization, and timely payments
• Review and approve resident-related invoices (e.g., therapy, pharmacy, labs, transportation) and input charges
• Follow up on delinquent accounts; maintain AR documentation in PCC
• Serve as a liaison for audits, financial reviews, budgets, and month-end reporting
• Monitor resident trust funds and ensure Medicaid resource thresholds are maintained
• Apply for representative payee status and maintain compliance with all third-party payer rules
• Support appeals, hearings, and legal matters related to billing or collections
• Act as Notary Public for residents as needed
• Foster a culture of customer service, process improvement, and team collaboration

Requirements:

Education & Experience:

• Bachelor’s degree in accounting, finance, or related field preferred
• Experience in a business office role within long-term care or healthcare required
• Knowledge of Medicaid/Medicare and third-party billing systems
• Familiarity with PCC and Business Central a plus (MatrixCare experience also beneficial)

Skills:

• Strong organizational, analytical, and problem-solving skills
• Ability to manage multiple priorities independently
• High degree of integrity, confidentiality, and professionalism
• Excellent communication and interpersonal skills with residents, families, and interdisciplinary teams
• Proficient in standard office technology (Microsoft Office, financial software, internet/email)

Physical & Schedule Requirements:

• Onsite presence required five days/week; occasional weekend work as needed
• Light physical activity: ability to lift up to 25 lbs, sit or use a computer for extended periods
• Adherence to HIPAA and organizational confidentiality policies is mandatory

Additional Expectations:

• Participate in team meetings, process improvement initiatives, and campus committees
• Maintain organized, accurate resident files and billing documentation
• Demonstrate a professional image and commitment to the care of older adults
• Support a collaborative, service-driven team culture aligned with the mission and values of Golden Years Homestead