Assistant Business Office Manager

Sterling Care; Bethesda (MD); On-site; USD 60,000 - 75,000; Full time

Job summary

Sterling Care in Bethesda, MD is seeking an Assistant Business Office Manager (ABOM) to support daily financial operations, including billing, resident trust accounts, and collections. The role emphasizes accuracy, compliance, and exceptional service to residents and families.

This non-exempt position requires a high school diploma and at least one year of admin or accounting experience, with healthcare billing and trust fund handling preferred.

Qualifications

• High school diploma or equivalent.
• Minimum of one year administrative or accounting experience.
• Healthcare billing or long-term care office experience preferred.
• Strong organizational, communication, and customer service skills.

Responsibilities

• Balance resident trust accounts and prepare statements.
• Assist with billing statements and disbursement of personal needs allowances.
• Support accounts receivable, collections, and follow-ups.
• Assist with Medicaid/Medicare applications and eligibility checks.
• Maintain filing systems and protect resident confidentiality.
• Communicate with residents, families, staff, and leadership.
• Attend departmental meetings and use billing/accounting platforms.
• Oversee front desk operations as needed.

Skills

Administrative experience

Accounting experience

Customer service

Communication skills

Education

High school diploma or equivalent

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

Tools

Billing software

HR systems

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