Business Office Manager

Genesis Administrative Services LLCExeter, NH
Onsite

About The Position

Exeter Center is seeking a full time Business Office Manager to join their team! 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.

Requirements

  • A high school diploma or equivalent is required
  • At least five years of experience in billing and collections is required
  • 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 center leaders.

Nice To Haves

  • A degree or post-secondary education or additional coursework in accounting or finance is preferred.
  • Experience in billing and collections in a long-term care setting is preferred.

Responsibilities

  • 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 expertise in revenue cycle performance metrics (bad debt, cash collections %, AR aging, 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.

Benefits

  • Variable compensation plans
  • Tuition, Travel, and Wireless Service Discounts
  • Employee Assistance Program to support mental health
  • Employee Foundation to financially assist through unforeseen hardships
  • Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
  • Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
  • On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
  • Pet Insurance
  • Term and Whole Life Insurance
  • Short-term Disability
  • Hospital Indemnity
  • Personal Accident
  • Critical Illness
  • Cancer Coverage
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