Business Office Manager

West Chester Rehabilitation & Healthcare Center; West Chester (Chester County); On-site; USD 75,000 - 90,000; Full time

Benefits offered by this job

Tuition reimbursement

Employee referral bonus

Health, vision, and dental benefits

401(k) with match

Employee engagement and culture comité

Company-sponsored life insurance

Employee assistance program (EAP)

Job summary

West Chester Rehabilitation and Healthcare Center is seeking a Business Office Manager for a full-time role in a long-term care setting. The position offers $75,000–$90,000 per year and focuses on accurate billing and Medicaid processes.

You will oversee daily financial operations, coordinate with residents and families, ensure regulatory compliance, and support budgeting and month-end reporting.

Qualifications

• Skilled Nursing and Medicaid experience is required.
• Minimum of two years in bookkeeping within a healthcare setting.
• Strong organizational and interpersonal skills are essential.

Responsibilities

• Oversee daily Business Office operations including billing, AR/AP, and records.
• Ensure accurate resident billing, reimbursements, collections, and reporting.
• Manage Medicaid applications, eligibility screenings, and document collection.
• Track Medicaid from initiation to approval and follow up on delays.
• Communicate with residents, families, caseworkers regarding documentation.
• Ensure compliance with federal/state/payer regulations.

Skills

Medicaid experience

Bookkeeping

Accounts receivable

Accounts payable

Billing

Financial reporting

Communication skills

Tools

Microsoft Office

Job description

Join our team at West Chester Rehabilitation and Healthcare Center as a Business Office Manager

Full-time opportunity available
$75,000–$90,000 per year

At West Chester Rehabilitation and Healthcare Center, we believe that strong financial stewardship and exceptional customer service are essential to supporting outstanding resident care. Guided by our core values of Passion, Respect, and Excellence, the Business Office Manager oversees the center’s financial operations while ensuring accurate billing, regulatory compliance, and outstanding service for residents, families, and team members.

Responsibilities for Business Office Manager:

• Oversee the daily operations of the Business Office, including billing, collections, accounts receivable, accounts payable, and financial record management.

• Ensure accurate and timely processing of resident billing, reimbursements, collections, and financial reporting.

• Maintain a strong focus on Medicaid processes, including:

  • Managing new Medicaid applications

  • Completing eligibility screenings

  • Collecting and verifying required documentation

  • Monitoring and assisting with spend-down requirements

  • Responding to Medicaid documentation requests and ensuring timely follow-up

• Track Medicaid applications from initiation through approval, proactively addressing outstanding requirements and preventing processing delays.

• Communicate with residents, families, caseworkers, and other appropriate parties regarding Medicaid applications and required documentation.

• Ensure compliance with all federal, state, company, and payer regulations related to business office operations.

• Partner with residents and families to answer billing questions and provide exceptional customer service.

• Monitor financial performance and assist with budgeting, audits, and month-end reporting.

• Collaborate with department leaders to improve operational efficiency and financial processes.

• Maintain accurate financial records while ensuring the confidentiality of resident and business information.

• Supervise, train, and support Business Office staff to ensure efficient and compliant operations.

Qualifications for Business Office Manager:

• Skilled Nursing experience required.
• Strong Medicaid experience required, including applications, eligibility screenings, document collection and verification, spend-downs, and Medicaid documentation requests.
• Minimum of two (2) years of bookkeeping or business office experience within a healthcare setting, including accounts receivable, accounts payable, billing, collections, and financial record management.
• Prior experience in a Long-Term Care, Rehabilitation, or Post-Acute Care setting preferred.
• Strong knowledge of billing processes, collection practices, reimbursement systems, and financial best practices.
• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook.
• Exceptional communication and interpersonal skills, with the ability to interact professionally and compassionately with residents, families, employees, vendors, and community partners.
• Demonstrated ability to build positive relationships and foster trust through collaboration, accountability, and respect.
• Strong customer service mindset with a commitment to creating positive experiences for residents, families, and team members.
• Highly organized with exceptional attention to detail and accuracy.
• Proven ability to effectively manage multiple priorities in a fast-paced environment while maintaining a positive attitude.
• Strong problem-solving skills with the ability to identify opportunities for process improvement and operational excellence.
• Ability to maintain confidentiality and exercise sound judgment when handling sensitive information.
• Passion for supporting the mission of providing exceptional care and services to residents and their families.

Our Core Values in Action

Passion – Supporting residents and families through accurate financial services and exceptional customer care.
Respect – Building trust through professionalism, confidentiality, and compassionate communication.
Excellence – Maintaining the highest standards of financial integrity, operational efficiency, and regulatory compliance.

Benefits for Business Office Manager:

• Tuition reimbursement

• Employee referral bonus

• Health, vision, and dental benefits

• 401(k) with match

• Employee engagement and culture committee

• Company-sponsored life insurance

• Employee assistance program (EAP) resources

Join our team at West Chester Rehabilitation and Healthcare Center, a 180-bed Sub-Acute and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment for both our residents and staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference.

Here, you’ll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you’re passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us.

The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.