Business Office Manager

Elderwood; Boston (MA); On-site; USD 39,000 - 52,000; Full time

Benefits offered by this job

Tuition Reimbursement Programs

401(k) with Employer Matching

Generous Paid Time Off & Holiday Pack

Excellent Medical, Dental & Vision

Employee Referral Program

And more!

Job summary

Elderwood is seeking a diligent Business Office Manager at Mattapan Health & Rehabilitation Center and West Roxbury Health & Rehabilitation Center to oversee financial and administrative operations across facilities. You will manage resident billing, Medicaid applications, and interfacing with the home office, ensuring compliance with federal and state standards.

You’ll leverage healthcare A/R expertise and PCC knowledge to support accurate billing, collections, and month-end processes, while

Qualifications

• Experience in healthcare accounts receivable with a focus on Medicaid LTC billing.
• Knowledge of Medicaid eligibility requirements and balance chasing.
• Familiarity with private pay and third-party payor procedures is helpful.

Responsibilities

• Set up and maintain resident billing and state/Medicare documents.
• Input collection activity and reconcile accounts in PCC.
• Meet with residents or responsible parties to assist with Medicaid applications.
• Monitor past due accounts and support Revenue Cycle Management.
• Lead and train business office staff and protect confidentiality of resident information.

Skills

Healthcare accounts receivable

Medicaid billing

Tools

PointClickCare (PCC)

Job description

Overview

Bring Financial Expertise. Support Families. Make a Difference at Elderwood.

Salary

$28.60 / hr - $37.92 / hr

Business Office Manager

Mattapan Health & Rehabilitation Center and West Roxbury Health & Rehabilitation Center are seeking a dependable, detail-oriented, and compassionate Business Office Manager to support the financial and administrative operations of both skilled nursing and rehabilitation communities. Bring Financial Expertise. Support Families. Make a Difference at Elderwood.
The Business Office Manager is responsible for the timely input of information within the accounting systems at the nursing facility and those which interface with the home office. The Business Office Manager directs the overall administrative activities in accordance with current applicable Federal, State and local standards, guidelines and regulations, and as directed by the supervisor, to ensure the proper administrative procedures are always maintained.
The ideal candidate will bring a strong background in healthcare accounts receivable (A/R), with a primary emphasis on Massachusetts Medicaid long-term care (LTC) billing and Medicaid-pending account management. Experience navigating Medicaid eligibility requirements, monitoring pending applications, coordinating required documentation, and following up on outstanding determinations is essential to supporting the financial operations of our skilled nursing communities. A general working knowledge of Medicare, private pay, and third-party insurance is also important, along with familiarity with PointClickCare (PCC), the resident management and billing software utilized by the facilities.
This role combines financial accountability with meaningful human interaction. Whether you're helping a family navigate the Medicaid application process, monitoring pending accounts, following up on outstanding balances, or ensuring the facility's financial records are accurate, your work directly contributes to a well-run community and a positive experience for residents and their families.
A Trusted Resource for Residents, Families & Leadership
The Business Office Manager is more than a financial administrator. You'll be a trusted resource for residents and responsible parties during what can often be an unfamiliar and complicated process.

You'll Have The Opportunity To

• Guide families through the financial side of care, including private pay, Medicare, Medicaid, insurance coverage, and resident account procedures.
• Strengthen financial operations by maintaining accurate billing, collections, account reconciliation, deposits, census records, and month-end processes.
• Support Medicaid eligibility and applications, helping families gather documentation and navigate requirements while communicating with county Medicaid offices.
• Partner with facility leadership and Revenue Cycle Management to identify outstanding receivables, address account concerns, and support the financial health of the community.
• Lead and support business office staff, providing guidance, training, organization, and best-practice support.
• Maintain the highest standards of confidentiality and compliance, particularly when handling sensitive resident financial and personal information.

Benefits & Perks

• Tuition Reimbursement Programs
• 401(k) with Employer Matching
• Generous Paid Time Off & Holiday Package
• Excellent Medical, Dental & Vision Benefits
• Employee Referral Program
• And more!

Bring Your Expertise to a Role That Makes a Difference

The best Business Office professionals know that their work is about more than numbers and accounts. It's about helping residents and families navigate important decisions with clarity, compassion, and confidence.
At Elderwood, you'll have the opportunity to bring your financial and administrative expertise to an environment where accuracy matters, relationships matter, and the work you do behind the scenes directly supports the people we care for every day.

Be the Person Families Can Count On.

If you're an experienced business office professional who takes pride in accuracy, accountability, problem-solving, and helping others, we'd love to hear from you.
Join the Business Office team supporting Mattapan Health & Rehabilitation Center and West Roxbury Health & Rehabilitation Center and grow your career with Elderwood.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Sets up and maintains financial files for resident billing, admission papers, State and Medicare documents
• Performs routine collection calls
• Meets with residents/responsible parties to assist with Medicaid applications
• Meets weekly with Administrator on past due Private and Medicaid Pending accounts
• Inputs documentation on all collection activity into PCC
• Prepares daily census
• Reviews Payor Source Verification forms and ensures the patients set-up in PCC is accurate
• Posts all cash receipts, scans all checks received by the facility