Business Office Manager

Genesis HealthCare, Inc.; Milford (DE); On-site; USD 50,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a Business Office Manager to lead revenue cycle management efforts. This pivotal role focuses on optimizing collections and ensuring compliance while fostering a collaborative environment. You will manage a high-performing team, drive financial excellence, and support the mission of delivering exceptional care to patients. Join a diverse team dedicated to enhancing the well-being of individuals and families, and make a meaningful impact in the lives of those you serve. This is an exciting opportunity for a passionate leader to thrive in a dynamic healthcare setting.

Benefits

Variable Compensation Plans

Tuition Discounts

Travel Discounts

Wireless Service Discounts

Employee Assistance Program

Health Insurance

Dental Insurance

Vision Insurance

401K

Paid Time Off

Qualifications

• 5+ years of experience in long-term care billing and collections.
• Strong understanding of RCM systems and performance metrics.

Responsibilities

• Oversee revenue cycle management functions from pre-admission to discharge.
• Collaborate across departments for accurate patient account management.

Skills

Revenue Cycle Management (RCM)

Billing and Collections

Financial Compliance

Team Leadership

Collaboration

Education

High School Diploma

Coursework in Accounting or Finance

Tools

RCM Systems

Job description

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.

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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.

Responsibilities

• Are you experienced in drivingRevenue Cycle Management (RCM) performanceat the center level, with a focus on measurable outcomes?
  
  

• Can you lead and improve all aspects of therevenue cycle—from pre-admission through discharge—to maximize timely and accurate revenue collection?
  
  

• Do you thrive in acollaborative environment, working closely with Market leaders and support teams to achieve positive accounts receivable (AR) outcomes?
  
  

• Are you confident inidentifying training needsand communicating them effectively to ensure continuous performance improvement across your team?
  
  

• Do you consistently demonstrate a strongunderstanding of your responsibilitiesand ensure tasks are executed with attention to detail and timeliness?
  
  

• Are you comfortable working cross-functionally with departments likeAdmissions, Clinical Reimbursement, and Social Servicesto maintain accurate and compliant patient account management?

Does this sound like you? If so, apply to join our team as aBusiness Office Managerand 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 operationsincluding census management, billing, collections, adjustments, and Medicaid tracking.
  
  

• Collaborate across departmentsincluding Admissions, Clinical Reimbursement, and Social Services to ensure accurate and timely patient account management.
  
  

• Act as a financial liaisonduring the resident journey — from conducting financial interviews during admission to assisting with discharge obligations.
  
  

• Support compliancewith state, federal, and corporate guidelines — including cash handling procedures and segregation of duties.
  
  

• Use your expertisein 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 leadersto align with broader business office initiatives and access tools and support as needed.

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
*Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our company's DNA.
*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 $55,000.00 /Yr.