Business Office Clerk

Villa Healthcare; Dearborn Heights (MI); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Daily Pay

401(k) with company match

Medical Insurance

Dental, Vision, and Disability

Job summary

Villa Healthcare’s Imperial a Villa Center is seeking a full-time Business Office Clerk to oversee accounts receivable, payer setup, and Medicaid coordination for residents at a nursing facility.

The role requires updating billing systems, maintaining trust accounting records, and interfacing with the home office. Strong organizational, communication, and English skills are essential, with preferred Medicare/Medicaid processing familiarity.

Qualifications

• High school diploma or equivalent preferred.
• Basic accounting or bookkeeping coursework or experience preferred.
• Experience in a skilled nursing facility preferred.
• Ability to read, write, speak, and understand English.

Responsibilities

• Complete payer setup and changes for all residents.
• Coordinate Medicaid applications with Admissions Department and family.
• Process RFMS authorizations for Medicaid residents and maintain accounts.
• Apply representative payee for Social Security or change of address.
• Verify addresses and phone numbers for statements and collection calls.
• Update Corporate Office on Medicaid changes and admissions.
• Rerun Medicaid eligibility monthly for all residents.
• Make weekly collection calls for private pay and resident liabilities.
• Record progress in the resident file (Collections Tab).
• Complete Medicaid redeterminations and re-authorizations.
• Run current eligibility checks for Medicare residents.
• Perform other duties as assigned.

Skills

Systems processing

Outlook

Excel

Word

Organizational skills

Communication skills

English language

Resident relations

Medicare/Medicaid knowledge

Medicaid claims processing (basic)

Education

High school diploma

Accounting/bookkeeping courses

Experience in skilled nursing facility

Job description

Imperial a Villa Center is seeking a Business Office Clerk to join their team! The Business Office Clerk is responsible for the timely collection of accounts receivable from all payor sources, updating the accounting systems at the nursing facility and those which interface with the home office. The Business Office Clerk is directly involved in the maintenance of accurate and complete trust accounting records, census information, billing and resident accounts receivable statements.

Business Office Clerk Duties and Responsibilities

• Complete Payer setup and changes for all residents.
• Ensure that Medicaid applications are completed by coordinating with Admissions Department and family.
• Complete RFMS Authorizations for new Medicaid/Medicaid Pending Residents. Open RFMS Account if necessary.
• Apply representative payee for social security and/or change of address.
• Verify responsible party in PointClickCare has a complete address and phone number for statements and collection calls upon admission.
• Update Corporate Office on all Medicaid changes including admissions, discharges, payer changes, and income changes.
• Rerun Medicare and Medicaid eligibility monthly for all residents.
• Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts.
• Make notes in the resident file under Collections Tab to track progress.
• Complete Medicaid Redeterminations.
• Complete Managed Medicaid Re-Authorizations.
• Complete Medicaid Pending Report.
• Attend Medicare Meeting.
• Run Current Eligibility and Review for All Medicare Residents to ensure Coverage/Days.
• All other duties as assigned.

Business Office Clerk Skills and Abilities

• Basic systems processing.
• Basic skills in Microsoft Outlook, Excel, and Word.
• Good organizational and communication skills.
• Ability to read, write, speak, and understand English.
• Ability to relate positively, effectively and appropriately with residents, families, community members, volunteers and other facility staff.
• Basic understanding of Medicare and Medicaid claims processing preferred.

Business Office Clerk Education and Experience

• High school diploma or equivalent, preferred.
• Basic accounting or bookkeeping courses or experience preferred.
• Experience working in a skilled nursing facility preferred.

Physical Requirements

• Walking, reaching, bending, lifting, extended sitting, grasping, fine hand coordination, pushing and pulling, ability to distinguish smells and temperatures, all with or without the aid of mechanical devices is required.
• Limited potential for exposure to environmental hazards. Understanding and adherence to company safety standards and protocols required.

Villa Healthcare Full-Time Benefits

• Daily Pay & Competitive Compensation
• 401(k) with company match
• Medical Insurance
• Dental, Vision, and Disability insurance
• Employee Assistance Program (EAP)
• Access to Villa Perks, an Employee Discount Program
• Innovative Training Programs
• Opportunity for Growth and Advancement
• Up to $300/month temporary incentive for food, gas, childcare, and medical bills
• Paid Time Off
• And much more!

Why Villa?

At Villa Healthcare, making people better is at the heart of everything we do—and that starts with our team. We don’t just provide care, we create moments of connection, dignity, and compassion that matter. “We never settle” isn’t just our motto—it’s our mindset. We push beyond the expected to uplift the lives of our guests, their families, and each other. Our people bring skill, heart, and purpose to their work, and in return, we offer support, growth, and a sense of belonging. When you join Villa, you’re not just joining a workplace—you’re becoming part of a mission that changes lives, including your own.

SHARED CODE OF CONDUCT

B.E.T.T.E.R. is Villa’s Service Excellence Code of Conduct. Becoming a member of the Villa Team includes upholding Villa’s B.E.T.T.E.R. standards every day. Be Welcoming to All, Establish a Relationship, Trust & respect, Teamwork, Engage & Communicate & Recognize.

Villa Healthcare Facilities are Equal Opportunity Employers and do not discriminate based on any protected right such as race, color, nationality, gender, age, disability or any protected applicable right under the National Labor Relations Act.

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