Business Office Manager

Genesis; Milford (NH); On-site; USD 50,000 - 52,000; Full time

Job summary

Genesis is seeking a Business Office Manager to lead their revenue cycle management efforts at their Milford location. This essential role requires a strong collaborator with significant experience in long-term care billing and a passion for ensuring financial excellence in patient care. Join a dedicated team making a vital difference in healthcare services.

Benefits

Variable compensation plans

Tuition, Travel, and Wireless Service Discounts

Employee Assistance Program

Health, Dental, Vision insurance

401K and Paid Time Off

Qualifications

• At least five years of experience in long-term care billing and collections.
• Strong understanding of RCM systems, processes, and performance metrics.
• Confidence in collaborating with various departments.

Responsibilities

• Lead day-to-day revenue operations including billing and collections.
• Collaborate across departments for accurate patient account management.
• Support compliance with state, federal, and corporate guidelines.

Skills

Leadership

Analytical skills

Collaboration

Education

High school diploma or equivalent

Additional coursework in accounting or finance

Job description

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This range is provided by Genesis. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$50,000.00/yr - $52,000.00/yr

Overview

ABOUT GENESIS

As the nation's leading provider of healthcare services from short-term to long-term and a wide variety of living options and professional clinical services, Genesis focuses on the vitality of the person. How and where we can make a difference in the overall well-being and healthy outlook of everyone we serve is our daily mission.

At critical life moments, you need someone you can trust and people you can count on to take the time to really get to know you and understand your unique needs. Whether healing from a serious illness or making a life transition, we help our patients regain their vitality for a healthier return home.

_______________________________________________________________

Healthcare is evolving. Patients and their families expect more from healthcare centers and team members - they expect a well-evaluated, personalized quality of service that meets them where they are. They expect skilled practitioners and experts that push the boundaries of ordinary service to excellence in care. This is a new era of skilled nursing and long term care - one that empowers and nurtures, leads with compassion, and leaves a lasting impression.

At Genesis, we know that we can only accomplish this if we have passionate healthcare providers and skilled experts in our centers, close to the patients themselves, and connected to their outcomes. Join our diverse team of passionate healthcare providers working to create vitality for life.

Why Join Us?

You’ll be at the heart of center operations — combining analytical precision with compassionate service. This role is ideal for someone who enjoys leading teams, improving processes, and directly contributing to the financial health of a care environment. You'll gain the opportunity to grow professionally while being part of a team that values accountability, empathy, and excellence.

Responsibilities

• Are you experienced in driving Revenue Cycle Management (RCM) performance at the center level, with a focus on measurable outcomes?
• Can you lead and improve all aspects of the revenue cycle—from pre-admission through discharge—to maximize timely and accurate revenue collection?
• Do you thrive in a collaborative environment, working closely with Market leaders and support teams to achieve positive accounts receivable (AR) outcomes?
• Are you confident in identifying training needs and communicating them effectively to ensure continuous performance improvement across your team?
• Do you consistently demonstrate a strong understanding of your responsibilities and ensure tasks are executed with attention to detail and timeliness?
• Are you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement, and Social Services to maintain accurate and compliant patient account management?
  
  

Does this sound like you? If so, apply to join our team as a Business Office Manager and take the lead in driving financial excellence at the center level!

This is more than a back-office role — it’s a key leadership position where your skills in revenue cycle management, people development, and process execution will directly support our mission of delivering exceptional care.

What You’ll Do

As a Business Office Manager, you’ll oversee the full spectrum of revenue cycle management functions — from pre-admission to discharge. Your focus will be on optimizing collections, ensuring compliance, and leading a high-performing business office team that may include Assistant Business Office Managers, Bookkeepers, and Receptionists.

You Will

• Lead day-to-day revenue operations including census management, billing, collections, adjustments, and Medicaid tracking.
• Collaborate across departments including Admissions, Clinical Reimbursement, and Social Services to ensure accurate and timely patient account management.
• Act as a financial liaison during the resident journey — from conducting financial interviews during admission to assisting with discharge obligations.
• Support compliance with state, federal, and corporate guidelines — including cash handling procedures and segregation of duties.
• Use your expertise in revenue cycle performance metrics (bad debt, cash collections %, AR aging, and DSO) to identify challenges and develop sustainable, action-oriented solutions.
• Partner with Market RCM leaders to align with broader business office initiatives and access tools and support as needed.
  
  

Why Join Us?

You’ll be at the heart of center operations — combining analytical precision with compassionate service. This role is ideal for someone who enjoys leading teams, improving processes, and directly contributing to the financial health of a care environment. You'll gain the opportunity to grow professionally while being part of a team that values accountability, empathy, and excellence.

Qualifications

What You Bring:

• A high school diploma or equivalent (additional coursework in accounting or finance preferred).
• At least five years of experience in long-term care billing and collections.
• A strong understanding of RCM systems, processes, and performance metrics.
• A collaborative mindset with the ability to lead and develop a business office team.
• Confidence and professionalism in working with residents, families, and center leaders.
  
  

Benefits

• Variable compensation plans
• Tuition, Travel, and Wireless Service Discounts
• Employee Assistance Program to support mental health
• Employee Foundation to financially assist through unforeseen hardships
• Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
  
  

We Also Offer Several Voluntary Insurances Such As

• Pet Insurance
• Term and Whole Life Insurance
• Short-term Disability
• Hospital Indemnity
• Personal Accident
• Critical Illness
• Cancer Coverage
  
  

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $50,000.00 - USD $52,000.00 /Yr.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Administrative

• Industries

  Hospitals and Health Care

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