Business Office Manager and Accounts Receivable

Ryders-Health-Management; Waterford (CT); On-site; USD 60,000 - 68,000; Full time

Benefits offered by this job

Medical insurance

401(k) retirement plan

Life insurance

Disability insurance

Paid meal period

PTO and holidays

EAP

Employee discounts

Training and orientation

Collaborative work environment

Longevity awards

Job summary

Greentree Manor Nursing & Rehabilitation Center, part of Ryders Health Management, seeks a Business Office Manager to oversee accounts receivable and support financial operations at a skilled nursing facility in Waterford, CT.

The ideal candidate has healthcare billing experience, knowledge of Medicaid and Medicare processes, and strong organizational and customer-service skills. Full-time, Monday–Friday with a competitive pay range and comprehensive benefits.

Qualifications

• Experience in business office or accounts receivable in skilled nursing or long-term care settings.
• Knowledge of Medicare, Medicaid, private-pay, and third-party billing procedures.
• Experience with accounts receivable, collections, Medicaid applications, and resident trust accounts.
• Proficient with Microsoft Office (Excel, Word, Outlook).
• Strong organizational and communication skills; attention to detail.
• Ability to handle confidential financial information professionally.

Responsibilities

• Process accounts receivable, private-pay billing, third-party billing, cash deposits, and postings.
• Monitor private-pay spend-downs and support Medicaid pending transitions.
• Assist residents with Medicaid applications and manage Medicaid-pending accounts.
• Submit accurate Medicare, Medicaid, private-pay, and third-party claims.
• Follow up on outstanding balances, denials, and unpaid accounts.
• Maintain resident trust accounts and financial records per regulations.

Skills

Accounts receivable

Medicaid billing

Medicare billing

Private-pay billing

Collections

Resident trust accounts

Regulatory compliance

Microsoft Excel

Communication skills

Customer service

Detail-oriented

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Business Office Manager / Accounts Receivable – Full-Time

LOCATION

Greentree Manor Nursing & Rehabilitation Center, Waterford, CT

POSITION TYPE

Full-Time

SCHEDULE

Monday through Friday

PAY RANGE

$60,000 - $68,000

BENEFITS – FULL-TIME

• Medical, Dental, and Vision Insurance (for employee and eligible dependents)
• 401(k) Retirement Plan
• Employer-Paid Life Insurance
• Short- and Long-Term Disability (as applicable)
• Paid Meal Period
• Paid Time Off (PTO)—vacation, personal days, and sick time
• 8 Paid Holidays
• Employee Assistance Program (EAP)
• Employee Discounts
• Paid Training and Orientation
• Supportive and Collaborative Work Environment
• Longevity Awards

JOB SUMMARY

Greentree Manor Nursing & Rehabilitation Center is seeking an organized, detail-oriented, and experienced Business Office Manager to join our team. This full-time position is responsible for managing accounts receivable and supporting the financial operations of our skilled nursing facility. The ideal candidate will have experience with healthcare billing, collections, Medicaid applications, and resident financial accounts. This role requires strong organizational, communication, and customer-service skills when working with residents, families, insurance providers, and facility departments.

RESPONSIBILITIES

• Process accounts receivable, private-pay billing, third-party billing, cash deposits, and payment postings.
• Monitor private-pay spend-downs and support the timely transition of eligible accounts to Medicaid pending.
• Manage Medicaid-pending accounts and assist residents and responsible parties with Medicaid applications.
• Submit accurate and timely Medicare, Medicaid, private-pay, and third-party insurance claims.
• Follow up on outstanding balances, collections, claim denials, and unpaid accounts.
• Maintain resident trust accounts and financial records in accordance with applicable regulations and facility policies.
• Meet with residents, family members, and responsible parties to explain financial obligations, insurance coverage, account balances, and billing concerns.
• Maintain accurate facility census information and resident financial files.
• Review admission payer sources and coordinate with the Admissions Department to support smooth admission and discharge processes.
• Prepare financial reports and maintain complete and accurate supporting documentation.
• Protect the confidentiality of resident, financial, and facility information.
• Collaborate with Nursing, Admissions, Administration, and other departments to support effective financial operations.
• Perform other duties as assigned.

QUALIFICATIONS

• Previous business office or accounts receivable experience in a skilled nursing facility or long-term care setting is required.
• Knowledge of Medicare, Medicaid, private-pay, and third-party insurance billing procedures.
• Experience with accounts receivable, collections, Medicaid applications, and resident trust accounts.
• General knowledge of or experience using Microsoft Office programs, including Excel, Word, and Outlook.
• Strong organizational skills and attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple responsibilities, prioritize assignments, and meet deadlines.
• Strong customer-service skills when communicating with residents, families, responsible parties, and coworkers.
• Ability to handle sensitive financial information professionally and confidentially.
• High school diploma or GED required.

ABOUT US

Ryders Health Management is a family-owned management company overseeing Skilled Nursing and Rehabilitation Centers. Across all our centers, we provide exceptional, patient-centered care designed to support each resident’s individual recovery or long-term care needs. Our commitment to our staff is as strong as our commitment to our residents. We offer a supportive work environment and opportunities for professional growth and development.

OUR CARING COMMUNITY

Greentree Manor is a 90-bed, family-owned skilled nursing facility located in Waterford, CT. As part of the Ryders Health family, you’ll join a team backed by over 75 years of experience — rooted in quality care, teamwork, and staffing ratios that exceed industry standards.

Come join our compassionate, dedicated team of professionals!

EQUAL OPPORTUNITY EMPLOYER STATEMENT

We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.