Business Office Manager

Regina Health Center; Richfield Township (OH); On-site; USD 70,000 - 75,000; Full time

Job summary

Regina Health Center in Richfield Township, Ohio is seeking a dedicated Business Office Manager to oversee billing, collections, Medicaid/Medicare applications, and revenue reconciliation. You will monitor accounts, ensure timely claims and accurate census data, and partner with leadership to optimize financial operations in a mission-driven environment.

Ideal candidates are numbers-focused, detail-oriented, and proficient with billing systems, spreadsheets, and financial records.

Qualifications

• Experience in accounts receivable, billing, collections, or business office operations.
• Knowledge of Medicare, Medicaid, private-pay billing, and long-term care insurance claims.
• Strong organizational skills and exceptional attention to detail.
• Proactive approach to identifying problems, researching discrepancies, and resolving balances.
• Excellent communication and customer service when working with residents, families, insurers, and colleagues.

Responsibilities

• Oversee cash posting and reconciliation to ensure prompt, accurate postings.
• Coordinate accurate, timely billing for skilled nursing, long-term care insurance, private pay, and other payer sources.
• Monitor and reconcile resident census information and payer changes for accurate billing.
• Manage long-term care insurance claims submission, follow-up, and resolution.
• Coordinate Medicaid applications and eligibility documentation to minimize delays.
• Proactively manage outstanding accounts and follow up with payers.
• Investigate unpaid claims, denials, and aging balances to drive resolution.
• Monitor accounts receivable aging and report opportunities for improvement to leadership.
• Collaborate with admissions, business office staff, clinical leadership, residents, and families for clear information and positive experience.

Skills

Accounts receivable

Billing & claims

Medicare billing

Census tracking

Insurance follow-up

Communication skills

Attention to detail

Confidentiality

Billing systems

Spreadsheets

Tools

Billing systems

Billing software

Job description

Make a Difference. Make an Impact. Join an Outstanding Team!

REGINA HEALTH CENTER is a mission-based skilled nursing facility committed to excellence in resident care and service. Located on 230 beautiful acres in Richfield, Ohio, Regina Health Center offers a unique opportunity to work in a supportive, mission-driven environment where your contributions truly matter.

We are seeking a detail-oriented, organized, and results-driven Business Office Manager to join our outstanding leadership team! This is an important role for someone who takes pride in accuracy, follows through on commitments, and understands that strong financial operations help ensure we can continue providing exceptional care to our residents.

What You'll Do

As our Business Office Manager, you will oversee key billing and collection functions, helping ensure that revenue is accurately recorded, claims are processed timely, and outstanding balances are actively managed.

Your responsibilities will include:

• Cash Posting & Reconciliation: Ensure payments are accurately and promptly posted, accounts are reconciled, and discrepancies are researched and resolved.
• Billing & Claims Management: Coordinate accurate, timely billing for skilled nursing, long-term care insurance, private pay, and other applicable payer sources.
• Census Tracking: Monitor and reconcile resident census information, admissions, discharges, and payer changes to support accurate billing and reporting.
• Long-Term Care Insurance Claims: Manage the submission, follow-up, and resolution of long-term care insurance claims, working with residents, families, and insurance companies to secure payment.
• Medicaid Applications: Coordinate Medicaid applications and eligibility documentation, follow up on pending applications, and work to minimize delays in coverage and reimbursement.
• Collections & Account Follow-Up: Proactively manage outstanding accounts, contact responsible parties and payers, resolve billing questions, and implement effective follow-up processes.
• Account Research & Resolution: Investigate unpaid claims, denials, payment discrepancies, and aging balances, taking ownership of issues through resolution.
• Reporting & Accountability: Monitor accounts receivable aging, identify collection trends, and communicate opportunities for improvement to leadership.
• Teamwork & Communication: Collaborate with admissions, business office staff, clinical leadership, residents, and families to ensure accurate information, clear communication, and a positive experience.

What We're Looking For

We are looking for someone who is both numbers-oriented and people-focused— a professional who can manage the details, solve problems, and follow through until the job is finished.

The ideal candidate will have:

• Experience in accounts receivable, billing, collections, or business office operations, preferably in a skilled nursing facility, senior living community.
• Knowledge of Medicare, Medicaid, private-pay billing, and long-term care insurance claims.
• Strong organizational skills and exceptional attention to detail.
• A proactive approach to identifying problems, researching discrepancies, and resolving outstanding balances.
• Excellent communication and customer service skills when working with residents, families, insurance companies, and colleagues.
• Strong follow-through, personal accountability, and the ability to manage multiple priorities and deadlines.
• Proficiency with computers, billing systems, spreadsheets, and financial records.
• A commitment to confidentiality, accuracy, and the mission of Regina Health Center.

Why Join Regina Health Center?

At Regina Health Center, you will have the opportunity to use your financial and organizational skills in a setting where the work has a meaningful purpose. We value team members who take initiative, demonstrate integrity, and contribute to a culture of excellence.

You will join a dedicated leadership team that recognizes the importance of strong business office operations in supporting quality resident care.

A Ministry of the Sisters of Charity Health System

Job Type: Full-Time, Monday-Friday

Pay: $70,000 - $75,000/year

October 2026: Newsweek Names Regina Health Center One of America’s Best Nursing Homes;
3rd Year in a Row - Top 10 in Ohio!