Business Office Manager

Regina Health Center•Richfield, OH
•Onsite

About The Position

Regina Health Center, a mission-based skilled nursing facility in Richfield, Ohio, is seeking a detail-oriented, organized, and results-driven Business Office Manager for its leadership team. The role oversees billing, collections, and related financial operations to support accurate revenue recording and the facility’s resident care mission. The Business Office Manager coordinates billing across skilled nursing, long-term care insurance, private pay, and other applicable payer sources. The position also manages cash posting and reconciliation, census tracking, Medicaid applications, claims follow-up, collections, account research, and accounts receivable reporting. The successful candidate will work with residents, families, insurers, business office staff, admissions, and clinical leadership to resolve issues and support clear communication.

Requirements

  • Experience in accounts receivable, billing, collections, or business office operations.
  • Knowledge of Medicare, Medicaid, private-pay billing, and long-term care insurance claims.
  • Strong organizational skills and exceptional attention to detail.
  • Ability to identify problems, research discrepancies, and resolve outstanding balances proactively.
  • Excellent communication and customer service skills when working with residents, families, insurance companies, and colleagues.
  • Strong follow-through, personal accountability, and ability to manage multiple priorities and deadlines.
  • Proficiency with computers, billing systems, spreadsheets, and financial records.
  • Commitment to confidentiality, accuracy, and Regina Health Center’s mission.

Nice To Haves

  • Experience in a skilled nursing facility or senior living community.

Responsibilities

  • Ensure payments are accurately and promptly posted, reconcile accounts, and research and resolve discrepancies.
  • Coordinate accurate, timely billing for skilled nursing, long-term care insurance, private pay, and other applicable payer sources.
  • Monitor and reconcile resident census information, admissions, discharges, and payer changes to support accurate billing and reporting.
  • Submit, follow up on, and resolve long-term care insurance claims in coordination with residents, families, and insurance companies.
  • Coordinate Medicaid applications and eligibility documentation, follow up on pending applications, and work to minimize coverage and reimbursement delays.
  • Manage outstanding accounts by contacting responsible parties and payers, resolving billing questions, and implementing effective follow-up processes.
  • Investigate unpaid claims, denials, payment discrepancies, and aging balances, taking ownership through resolution.
  • Monitor accounts receivable aging, identify collection trends, and communicate opportunities for improvement to leadership.
  • Collaborate with admissions, business office staff, clinical leadership, residents, and families to ensure accurate information, clear communication, and a positive experience.
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