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Assistant Business Office Manager

Legacy Health Services•Parma, OH

About The Position

Pleasant Lake Villa is seeking a detail-oriented and dependable Assistant Business Office Manager with healthcare experience to support the business office and ensure accurate financial operations. The role maintains financial records, manages billing and accounts receivable, and supports the facility’s day-to-day financial operations. Experience with long-term care billing, Medicaid and Medicare, and private-pay processes is highly preferred. The position also supports accounts payable, payroll, month-end reporting, audits, and communication about billing matters. It requires accuracy, organization, confidentiality, and the ability to manage multiple tasks in a fast-paced environment. Pleasant Lake Villa describes its workplace as supportive, respectful, collaborative, and growth-oriented, with a commitment to employees’ well-being and professional development.

Requirements

  • Experience in long-term care, skilled nursing billing, or healthcare bookkeeping is strongly preferred.
  • Working knowledge of Medicare, Medicaid, and private-pay billing processes.
  • Proficiency with accounting software and Microsoft Office; Excel is required.
  • High level of accuracy, organization, and attention to detail.
  • Strong communication and customer-service skills.
  • Ability to prioritize and manage multiple tasks in a fast-paced environment.
  • High school diploma required.

Nice To Haves

  • Associate degree in accounting or a related field preferred.
  • Experience in long-term care, skilled nursing billing, or healthcare bookkeeping.
  • Experience with Medicaid/Medicare and private-pay processes.

Responsibilities

  • Manage accounts receivable, including billing, posting payments, and resolving account discrepancies.
  • Prepare and process monthly resident billing statements.
  • Assist with Medicaid eligibility, redeterminations, and required documentation.
  • Process vendor invoices, statements, and accounts payable.
  • Maintain general ledger entries and financial files.
  • Reconcile bank statements, accounts, and financial reports.
  • Assist with payroll processing and employee records, as applicable.
  • Support month-end reporting and audits.
  • Communicate professionally with residents, families, and external agencies regarding billing inquiries.
  • Maintain confidentiality in all financial and resident-related matters.
  • Assist the business office and administration with additional tasks as needed.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Paid time off
  • Paid holidays
  • Retirement plan options
  • Opportunities for professional growth within the organization
  • Supportive leadership and a collaborative work environment
  • Opportunities to grow a career in skilled nursing, assisted living, rehabilitation, long-term care, and hospice
  • Full-time nurse practitioner support and interdisciplinary collaboration
  • A workplace that values employees’ contributions and encourages continuous learning
  • Support for employee well-being

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