Assistant Business Office Manager

Legacy-Health-Services-1; Parma (OH); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Paid time off and holidays

Retirement plan options

Professional growth opportunities

Job summary

Pleasant Lake Villa in Parma, OH, seeks an Assistant Business Office Manager to oversee billing, accounts receivable, and day-to-day financial tasks in a resident-centered skilled nursing setting.

The role requires experience in long-term care billing and Medicare/Medicaid knowledge, with proficiency in accounting software and Excel. A high school diploma is required; an associate degree is preferred for advancement. Join a team focused on quality care and financial integrity.

Qualifications

• Experience in long-term care, skilled nursing billing, or healthcare bookkeeping is strongly preferred.
• Familiarity with Medicare, Medicaid, and private pay billing processes.
• Proficient with accounting software and Excel; highly accurate and organized.
• Strong communication and customer-service skills; able to multitask in a fast-paced environment.
• High school diploma required; associate degree in accounting or related field preferred.

Responsibilities

• Manage accounts receivable, including billing, posting payments, and reconciling 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; support month-end reporting and audits.
• Communicate professionally with residents, families, and external agencies regarding billing inquiries.

Skills

Long-term care experience

Skilled nursing billing

Healthcare bookkeeping

Excel proficiency

Attention to detail

Communication skills

Multi-task prioritization

Education

High school diploma

Associate degree in accounting or related field preferred

Tools

Accounting software

Microsoft Office

Job description

Pleasant Lake Villa is a resident‑centered skilled nursing and long-term care community with a strong commitment to quality care, operational excellence, and financial integrity. We are seeking a detail‑oriented and dependable Assistant Business Office Manager with healthcare experience to support our business office and ensure accurate financial operations.

The Assistant Business Office Manager is responsible for maintaining accurate financial records, managing billing and accounts receivable processes, and supporting the day‑to‑day financial operations of the facility. Experience in long‑term care billing, Medicaid/Medicare, and private pay processes is highly preferred.

Key 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 business office and administration with additional tasks as needed

Qualifications

• Experience in long‑term care, skilled nursing billing, or healthcare bookkeeping strongly preferred
• Working knowledge of Medicare, Medicaid, and private pay billing processes
• Proficiency with accounting software and Microsoft Office (Excel 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; associate degree in accounting or related field preferred

What We Offer

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

Pleasant Lake Villa – Parma

Rooted in the Community: Pleasant Lake Villa is proud to serve the Parma community with a tradition of excellence in care. We’re more than a facility—we’re a trusted partner in health and healing.

Our Mission: “Our Family Caring for Yours” means treating every team member like family. We believe in creating a supportive, respectful, and growth‑oriented environment where you can thrive both personally and professionally.

What We Offer Employees:

• A strong sense of purpose and community

• Opportunities to grow your career in skilled nursing, assisted living, rehab, long‑term care, and hospice

• Full‑time nurse practitioner support and interdisciplinary collaboration

• A workplace that values your unique contributions and encourages continuous learning

We See You as a Whole Person: Just like our residents, our team members have physical, emotional, social, and intellectual needs. We’re committed to supporting your well‑being and helping you succeed.

We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or non‑job related handicap or disability.