Business Office Manager

PACS-posted 1 day ago
Full-time • Manager
Onsite • Fresno, CA
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Oakwood Gardens Care Center is seeking a detail-oriented, experienced Business Office Manager to oversee daily business office operations and support the financial integrity of our skilled nursing facility. The ideal candidate is organized, proactive, knowledgeable in SNF billing, and skilled in leading a team in a fast-paced healthcare setting. The Business Office Manager supports facility operations by managing business office systems, supervising staff, and ensuring accurate and timely financial, billing, and administrative processes.

  • Obtain and track Managed Care, Medi-Cal, and Medicaid authorizations, including bed holds
  • Assist with resident trust fund management, including printing and distributing monthly statements
  • Supervise business office staff and administer disciplinary actions when necessary
  • Maintain accurate facility census records and report all status changes
  • Participate in stand-up or departmental meetings as requested by the Administrator
  • Assist residents and families with Medi-Cal/Medicaid applications
  • Prepare TARs as needed
  • Track Medi-Cal/Medicaid redeterminations
  • Participate in billing and payment processes, including preparing bank deposits
  • Conduct collections and follow-up on outstanding balances or bad debt
  • Ensure operational expectations are met by scheduling, assigning tasks, and monitoring performance
  • Supports and supervises business office staff
  • Provides oversight, coaching, and workflow management
  • High school diploma or equivalent required
  • Skilled nursing billing experience required
  • Proficiency in Microsoft Office and computer-based billing systems
  • Ability to read and interpret technical procedures and policy manuals
  • Strong communication skills for presenting information and responding to questions
  • Ability to apply fractions, percentages, ratios, and proportions
  • Effective problem-solving and ability to interpret written, verbal, and diagram-based instructions
  • Strong organization, follow-through, and time management
  • Prolonged computer use
  • Frequent standing and walking; occasional sitting
  • Frequent reaching, pushing, pulling
  • Ability to lift up to 50 pounds
  • Full range of vision with ability to adjust focus
  • Occasional stooping, kneeling, climbing, or crouching
  • Low to moderate noise level
  • Standard office and skilled nursing environment
  • One year of long-term care facility experience preferred
  • PCC (PointClickCare) experience preferred
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