LTC Business Office Manager — Care & Operations

Legacy Health Services; Parma (OH); On-site; USD 65,000 - 86,000; Full time

Job summary

Legacy Health Services in Cleveland is seeking a Business Office Manager for a long-term care setting. You will lead daily business office operations, oversee billing for private pay, Medicare, Medicaid, and managed care, and supervise office staff to ensure accuracy and timeliness.

The role requires strong leadership and communication, experience with resident trust accounts, and collaboration with clinical and administrative teams to support high-quality resident care.

Qualifications

• 3–5 years of experience in a long-term care business office.
• Strong knowledge of Medicare/Medicaid billing and collections.
• Proficiency in Microsoft Office, PointClickCare, and Resident Trust Accounts.
• Familiarity with Ohio Medicaid Portal (PNM), myCGS, Insurance Portals, LTC authorizations.
• Excellent leadership and communication skills.
• Positive interaction with residents, families, staff and agencies.

Responsibilities

• Oversee daily business office functions.
• Responsible for timely Private Pay collections and statements.
• Manage billing for Medicare, Medicaid & Managed Care.
• Maintain resident trust accounts using RFMS.
• Ensure accurate census updates daily and verification of Insurance Benefits.
• Supervise and support office staff.
• Collaborate with clinical and administrative teams.
• Organizes, evaluates and monitors business office operations, including management of office staff.

Skills

Leadership & communication

Billing & collections knowledge

Tools

Microsoft Office

PointClickCare

Resident Trust Accounts

Ohio Medicaid Portal (PNM)

myCGS

Insurance Portals

Job description

Legacy Health Services in Cleveland is seeking a Business Office Manager for a long-term care setting. You will lead daily business office operations, oversee billing for private pay, Medicare, Medicaid, and managed care, and supervise office staff to ensure accuracy and timeliness.

The role requires strong leadership and communication, experience with resident trust accounts, and collaboration with clinical and administrative teams to support high-quality resident care.