Business Office Manager

Legacy Health Services • Parma, OH

2d

About The Position

Legacy Health Services, a resident-centered skilled nursing and long-term care management company, is seeking an experienced, detail-oriented Business Office Manager to oversee financial operations, billing functions, and office management responsibilities. The role manages business office functions including billing, accounts receivable, resident trust accounts, payroll support, and financial recordkeeping. The ideal candidate has experience with long-term care billing systems and Medicaid and Medicare processes, along with strong accuracy, communication, and customer-service skills.

Requirements

• High school diploma required.
• Knowledge of Medicaid and Medicare, managed care, and long-term care billing systems.
• Proficiency with accounting software and Microsoft Office; Excel is required.
• Strong attention to detail, organization, and problem-solving skills.
• Excellent communication and customer-service skills.
• Ability to handle sensitive financial information confidentially.

Nice To Haves

• Experience as a Business Office Manager, Bookkeeper, or billing specialist in long-term care is strongly preferred.
• Associate degree in accounting or business preferred.

Responsibilities

• Oversee daily operations of the business office.
• Manage accounts receivable and billing for Medicare, Medicaid, private pay, and insurance.
• Complete and process resident admission paperwork, financial forms, and payment agreements.
• Maintain and reconcile resident trust accounts in compliance with regulations.
• Review and verify census information, charges, and reimbursement accuracy.
• Assist with Medicaid applications, redeterminations, and eligibility follow-up.
• Process vendor invoices and support accounts payable as needed.
• Assist with payroll processing and staff HR paperwork, depending on facility structure.
• Prepare month-end reports and support audits.
• Provide customer service to residents, families, and external partners.
• Ensure confidentiality and compliance with state and federal regulations.

Benefits

• Competitive compensation based on experience.
• Medical, dental, and vision insurance options.
• Paid time off and paid holidays.
• Retirement plan options.
• Supportive leadership team and collaborative work culture.
• Opportunities for career growth within the organization.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED