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Fresno Guest Homes is seeking a Business Office Manager to oversee admissions, intake processing, document management, scheduling, and compliance across our home health and hospice operations at Fresno facilities.
The role requires collaboration with care teams, physicians, and families, proficient use of Axxess EHR, and strong organizational skills. A Bachelor’s degree in Health Administration and 2–3 years of healthcare operations experience are required.
Title: Business Office Manager
Company: Xencare Inc. (DBA Fresno Guest Homes)
Work Location: Fresno Guest Homes Facilities
Reports to: Vice President – Care Operations
Location: Fresno, CA
Fresno Guest Homes is a leading provider of affordable, boutique-style residential assisted living services in Fresno, CA that specializes in offering a coordinated and integrated system of care to high-acuity older adults with multiple chronic illnesses, including Alzheimer’s and other dementia.
Fresno Guest Homes differentiates itself by providing complex care and medical services coordination in a home-like environment, communicating effectively, and making resident and family satisfaction its top priority.
The Business Office Manager plays a vital administrative and operational role in supporting the delivery of Home Health (HH) and Hospice services. This position ensures accurate intake processing, document organization, scheduling, compliance, and efficient use of the Axxess platform. It also supports agency regulatory requirements and facilitates communication between care teams, physicians, and families.
This is a high-responsibility support position ideal for someone with excellent organizational skills, strong familiarity with electronic health platforms, and a working knowledge of home health and hospice operations.
Admissions & Intake
Axxess & Document Management
Compliance & Agency Operations
Discharges