Business Office Manager

HIGHLANDHILLS; Pittsburgh (Allegheny County); On-site; USD 42,000 - 68,000; Full time

Job summary

HighlandHills in Pittsburgh is seeking an experienced office supervisor to maintain billing operations within a skilled nursing facility. The role focuses on Medi-Cal/Medicaid authorizations, staff supervision, and accurate census reporting.

Ideal candidates have a high school diploma, knowledge of nursing billing, and proficiency with Microsoft Office; PCC experience is a plus. Strong organizational and communication skills are required to support administrative operations.

Qualifications

• High school diploma or equivalent.
• Strong understanding of skilled nursing billing and payment.
• Preferable one-year experience in a long term care facility.
• Ability to read and comprehend procedures and manuals.
• Ability to present information and respond to questions from managers and employees.
• Knowledge and experience with PCC preferred.

Responsibilities

• Obtain managed care and Medi-Cal or Medicaid authorizations including bedholds.
• Assist with managing resident trust fund, including printing and distributing monthly statements.
• Supervise business office staff, including taking disciplinary measures.
• Maintain census and report status changes.
• May attend stand‑up meetings at the request of the Administrator.
• Assist with Medi-Cal or Medicaid applications.
• Prepare TARS as needed.
• Track Medi-Cal and Medicaid redeterminations.
• Participate in billing and payment processes including preparing bank deposits.
• Undertake collection activity for bad debts.
• Completes operational requirements by scheduling and assigning employees; following up on work results.

Skills

Billing management

Staff supervision

Medicaid billing knowledge

Education

High school diploma or equivalent

Tools

Microsoft Office

PCC

Job description

General Purpose

Supports facility operations by maintaining business office systems and supervision staff.

Essential Duties

• Obtain managed care and Medi-Cal or Medicaid authorizations including bedholds.
• Assist with managing resident trust fund, including printing and distributing monthly statements.
• Supervise business office staff, including taking appropriate disciplinary measures.
• Maintain census and report status changes.
• May attend stand‑up meetings at the request of the Administrator.
• Assist with Medi-Cal or Medicaid applications.
• Prepare TARS as needed.
• Track Medi-Cal and Medicaid redeterminations.
• Participate in billing and payment processes including preparing bank deposits.
• Undertake collection activity for bad debts.
• Completes operational requirements by scheduling and assigning employees; following up on work results.

Supervisory Requirements

Assist with the overall supervision and management of the business office staff.

Qualification

• Education and/or Experience
• High school diploma or equivalent.
• Strong understanding of skilled nursing billing and payment as well as proficient in Microsoft products computer skills.
• Preferable one‑year experience in a long term care facility.
• Language Skills
• Ability to read technical procedures.
• Ability to read and comprehend policy and procedure manuals.
• Ability to effectively present information and respond to questions from managers and employees.
• Mathematical Skills
• Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
• Reasoning Ability
• Ability to solve practical problems.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Certificates, Licenses, Registrations
• Knowledge and experience with PCC preferred.

Physical Demands

The essential functions of this position require the following physical abilities: Prolong use of computer. Standing and /or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Tasting and /or smelling very frequently. Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.