Business Office Manager (Long-Term Care)

Transitions Healthcare Washington PA•Washington, PA

About The Position

Transitions Healthcare Washington PA is seeking an experienced, detail-oriented Business Office Manager to oversee the daily financial and administrative operations of a skilled nursing facility. The role focuses on accurate billing, regulatory compliance, resident financial records, and exceptional customer service. The manager works with residents, families, third-party payers, and facility and corporate departments in a collaborative, resident-centered environment. The position also includes maintaining confidentiality of resident financial information under HIPAA and performing additional business office duties as assigned.

Requirements

Previous Business Office Manager experience in a skilled nursing facility or long-term care setting is required.
Thorough knowledge of Medicare, Medicaid, managed care, private pay billing, and medical assistance programs.
High school diploma or GED required.
Minimum of two years of bookkeeping or business office experience in a healthcare setting.
Proficiency in Microsoft Word, Excel, Outlook, and other business office software.
Strong organizational, analytical, communication, and customer service skills.
Ability to manage multiple priorities while maintaining accuracy and confidentiality.

Nice To Haves

Associate degree in Accounting, Business Administration, Finance, or a related field; equivalent experience will be considered.

Responsibilities

Maintain resident trust fund accounts, including deposits, withdrawals, reconciliations, and payments made on residents’ behalf.
Process resident-related medical expenses accurately and in a timely manner.
Manage resident billing and accounts receivable for Medicare, Medicaid, private pay, managed care, and other payer sources.
Monitor and collect outstanding accounts receivable while maintaining positive relationships with residents, families, and third-party payers.
Ensure accurate financial records and compliance with federal, state, and facility policies.
Prepare financial reports and maintain organized business office documentation.
Collaborate with admissions, nursing, social services, and corporate departments to ensure accurate resident financial information.
Assist residents and families with billing questions and financial inquiries in a professional and compassionate manner.
Maintain confidentiality of resident financial information in accordance with HIPAA regulations.
Perform additional business office duties as assigned.