Regional Business Office Manager

American Medical Administrators LTC•Boston, MA

About The Position

American Medical Administrators is seeking a Regional Business Office Manager to provide oversight and support for business office operations across multiple facilities. The role supports billing, collections, cash posting, accounts receivable, resident trust funds, banking and cash reconciliation, and compliance with payer and regulatory requirements. The manager partners with facility leadership and corporate teams to improve revenue cycle outcomes and standardize operations, and supports facility teams through training, mentoring, audits, and on-site leadership. Travel to assigned facilities is required, and occasional weekend and evening hours may be needed.

Requirements

  • Previous work in a long-term care facility is required.
  • Minimum of two years of related business office leadership experience.
  • Experience and/or knowledge of Medicare and Medicaid reimbursement.
  • Experience and/or knowledge of long-term care billing and collections.
  • Experience and/or knowledge of consolidation of billing processes.
  • Experience and/or knowledge of management of resident trust accounts.
  • Experience and/or knowledge of daily cash/check deposits and reconciliation.
  • Experience and/or knowledge of accounts receivable follow-up and aging management.
  • Experience and/or knowledge of daily staffing and financial reporting.
  • Experience and/or knowledge of purchase order processes and facility business office operations.
  • Proficiency with Microsoft Office.
  • Strong organizational, analytical, and problem-solving skills.
  • Team player with excellent work ethic and positive attitude.
  • Willingness to travel and work occasional weekend and evening hours as needed.
  • Genuine empathy, patience, a caring approach, and a collaborative spirit.

Nice To Haves

  • Business office leadership experience in a multi-site or regional capacity.

Responsibilities

  • Provide oversight and support to facility business office operations across multiple locations.
  • Monitor and guide billing, collections, cash posting, and accounts receivable processes.
  • Support management of resident trust funds and ensure compliance with applicable regulations.
  • Review daily banking activity, deposits, and cash reconciliation processes for assigned facilities.
  • Assist with adherence to Social Security, State, Medicaid, Medicare, and other payer regulations.
  • Assist facilities with Medicaid pending, denials, aging, collections, and reimbursement issues.
  • Oversee Social Security Representative Payee processes where applicable.
  • Partner with facility leadership and corporate teams to improve revenue cycle outcomes.
  • Conduct audits, reviews, and follow-up related to billing practices, trust accounts, and financial processes.
  • Train, mentor, and support Business Office Managers and other facility-level business office staff.
  • Assist with month-end processes, financial reporting, and operational standardization across buildings.
  • Travel to assigned facilities as needed to provide on-site support and leadership.

Benefits

  • Health insurance
  • Dental insurance
  • Disability insurance
  • Vision insurance
  • Employee Assistance Program
  • 401(k)
  • Life insurance
  • Paid time off
  • Telemedicine with a $0 co-pay
  • Unlimited assistance for legal, financial, childcare, elder care, and other needs
  • Access to Mayo Clinic programs and resources for workouts, lifestyle, mental health, and diet
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