Medicaid & Billing Office Manager - Nursing Home

Outcome HC; North Brunswick Township (NJ); On-site; USD 70,000 - 90,000; Full time

Job summary

Rose Mountain Care Center is seeking an experienced Business Office Manager to oversee the daily financial operations of the facility, including billing and collections, resident trust funds, accounts payable, and financial reporting, while ensuring compliance with federal, state, and local regulations and company policies.

The BOM will handle NJ Medicaid applications and renewals, manage payer trees in PCC, maintain resident funds, prepare and distribute billing statements, and ensure accurate

Qualifications

• Experience managing billing and collections for a healthcare facility.
• Knowledge of NJ Medicaid applications and renewals.
• Ability to manage resident funds and payer trees in PCC.
• Strong understanding of HIPAA and healthcare regulations.
• Excellent organizational and communication skills.

Responsibilities

• Respond promptly to inquiries via phone, email, and in person.
• Retrieve data for Census updates after admissions/discharges.
• Manage payer trees in the EMR (PCC).
• Verify insurance (Medicare/Medicaid/Managed Care).
• Disenroll and reenroll residents from Managed Medicare Plans.
• Request authorizations from insurers for in-house residents.
• Assist with Medicaid applications and document collection.
• Ensure compliance with Medicaid regulations.
• Maintain resident funds.
• Troubleshoot denied payments and data issues.
• Prepare and send monthly billing statements (private pay and privately insured).
• Update Medicare tracking form for cost reporting.
• Distribute census to vendors.
• Maintain resident files.
• Post cash receipts when needed.
• Manage weekly aging reports and collections calls.
• Follow safety and security procedures.
• Inform leadership of facility issues promptly.
• Interact professionally with residents and staff.
• Escalate unresolved balances.
• Ensure compliance with laws and policies.
• Participate in meetings and committees.
• Support customer experience.

Skills

Billing & collections

Medicaid applications

PCC payer trees

HIPAA compliance

Resident funds management

Customer service

Regulatory compliance

Education

Experience in healthcare administration

Tools

EMR PCC

Medicaid tracking forms

Job description

Rose Mountain Care Center is seeking an experienced Business Office Manager to oversee the daily financial operations of the facility, including billing and collections, resident trust funds, accounts payable, and financial reporting, while ensuring compliance with federal, state, and local regulations and company policies.

The BOM will handle NJ Medicaid applications and renewals, manage payer trees in PCC, maintain resident funds, prepare and distribute billing statements, and ensure accurate