Assistant Business Office Manager

Sterling Care LLC; Bethesda (MD); On-site; USD 52,000 - 66,000; Full time

Job summary

Sterling Care LLC in Bethesda, MD seeks an Assistant Business Office Manager to support daily financial and administrative operations, including billing, resident trust accounts, and Medicaid-related tasks. This full-time role reports to the Business Office Manager / Executive Director.

The ABOM ensures accuracy, compliance, and exceptional service to residents and families, while utilizing billing, accounting, and HR platforms.

Qualifications

• High school diploma or equivalent required.
• Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred.
• Two years healthcare billing experience preferred.

Responsibilities

• Balance resident trust accounts and prepare statements.
• Prepare and disburse resident personal needs allowances.
• Generate and distribute monthly billing statements.
• Support accounts receivable, collections, and follow-ups.
• Assist with Medicaid/Medical Assistance applications and eligibility.
• Assist with representative payee documentation and processing.
• Support account closures for discharged or deceased residents, including trust accounts and final billing coordination.
• Maintain organized and up-to-date filing systems and confidentiality.

Skills

Administrative experience

Accounting experience

Communication skills

Customer service

Medicaid billing familiarity

Education

High school diploma or equivalent

Associate’s or Bachelor’s degree in Accounting, Finance, or related field

Tools

Billing software

HR platforms

Accounting software

Job description

Assistant Business Office Manager (ABOM)

Department: Business Office
Classification: Non-Exempt
Reports To: Business Office Manager / Executive Director

Position Summary

In alignment with our organization’s mission to improve the lives of the residents we serve, the Assistant Business Office Manager (ABOM) supports the daily financial and administrative operations of the facility. This role assists with billing, resident trust accounts, collections, and general accounting functions while ensuring accuracy, compliance, and exceptional service to residents and families.

Key Responsibilities

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Assist with balancing resident trust accounts and preparing account statements

• Support the preparation and disbursement of resident personal needs allowances

• Assist in generating and distributing monthly billing statements

• Provide support with accounts receivable, collections, and follow-ups

• Help residents and families with Medicaid/Medical Assistance applications and eligibility verification

• Assist with representative payee documentation and processing

• Support account closures for discharged or deceased residents, including trust accounts and final billing coordination

• Maintain organized and up-to-date financial and administrative filing systems

• Assist in reviewing accounts receivable and payable reports with leadership

• Maintain resident confidentiality, dignity, and professionalism at all times

• Communicate effectively with residents, families, staff, and leadership

• Respond courteously to resident needs when in care areas and report concerns appropriately

• Attend departmental meetings and required in-services

• Utilize company-designated systems (billing, accounting, and HR platforms) efficiently

Supervisory Responsibility

• May assist with oversight of front desk operations and support staff as directed

Work Environment

This position operates in a healthcare setting and requires regular movement throughout the facility. The role involves use of standard office equipment such as computers, phones, copiers, and filing systems. Exposure to residents with infectious illnesses is possible.

Physical Demands

• Primarily sedentary with occasional standing, walking, bending, and filing

• Ability to lift files and operate office equipment

• Frequent communication (talking/hearing) required

Schedule Expectations

As part of a 24/7 healthcare facility, this role may require evenings, weekends, holidays, and availability during inclement weather.

Qualifications

Required:

• High school diploma or equivalent

• Minimum of one (1) year of administrative or accounting experience

Preferred:

• Associate’s or Bachelor’s degree in Accounting, Finance, or related field

• Two (2) or more years of experience in healthcare billing, collections, or long-term care business office operations

• Experience with Medicaid/Medicare billing and resident trust funds

• Strong organizational, communication, and customer service skills