Regional Business Office Director

Skilled Healthcare Center; Massachusetts; On-site; USD 110,000 - 165,000; Full time

Benefits offered by this job

Competitive wages and benefits

Job summary

Skilled Healthcare Center seeks a Regional Business Office Director to supervise the facility's financial operations, billing, and AR/AP processes. You will ensure accurate resident billing, timely reimbursement, and compliance with regulations.

You will collaborate with MDS, Nursing, and leadership to maintain accurate records, prepare financial reports, and lead a skilled business office team in Massachusetts.

Qualifications

• Minimum 2 years billing or business office experience in SNF/LTC preferred.
• Knowledge of Medicare/Medicaid/PDPM and payer rules.
• Experience with EHR/billing systems such as MatrixCare or PCC.
• Excellent communication, organizational, and analytical skills.
• Familiarity with CMS, HIPAA, and audits.

Responsibilities

• Oversee and manage all financial, billing, and accounts receivable/payable functions.
• Monitor aging, collections, and payment arrangements; communicate with families and insurers.
• Support admissions with financial screening and payer source explanations; assist with Medicaid applications.
• Manage accounts payable, vendor payments, and petty cash; ensure monthly reconciliations.

Skills

Medicare/Medicaid/PDPM knowledge

EHR/Billing systems (MatrixCare/PCC)

Communication

Organizational skills

Analytical skills

Education

High school diploma

Associate or Bachelor’s degree preferred

Tools

MatrixCare

PCC

Job description

Regional Business Office Director

Job Summary

The Business Office Manager is responsible for overseeing and managing all financial, billing, of the facility. The BOM ensures accurate resident billing, timely reimbursement, and proper handling of accounts receivable and payable. This role collaborates with the interdisciplinary team and maintains compliance with regulatory requirements.

Essential Functions & Responsibilities – Billing & Reimbursement

• Maintain accurate billing for Medicare, Medicaid, Managed Care, and private pay.
• Complete month-end closes and census reconciliation.
• Review PDPM billing components and payer rules.
• Monitor authorizations, coverage periods, and eligibility.
• Collaborate with MDS and Nursing for documentation compliance.

Accounts Receivable & Collections

• Monitor aging reports and follow up on outstanding balances.
• Communicate with families, insurers, and responsible parties.
• Establish payment arrangements when necessary.
• Maintain complete financial files for residents.

Admissions & Financial Counseling

• Participate in financial screening for admissions.
• Explain payer sources and financial responsibilities.
• Assist with Medicaid applications and renewals.
• Ensure completion of admission agreements and financial forms.

Accounts Payable & Cash Management

• Review invoices and prepare payments.
• Maintain petty cash and resident trust funds.
• Complete monthly trust reconciliations per regulations.
• Ensure accuracy and protection of all cash-handling processes.

Compliance & Regulatory

• Maintain compliance with CMS, Medicaid/MassHealth, HIPAA, and corporate policies.
• Prepare required documentation for audits and surveys.
• Ensure confidentiality of all resident information.
• Participate in QAPI as needed.

Leadership & Communication

• Supervise business office staff and provide ongoing training.
• Deliver high-quality customer service to residents and families.
• Participate in leadership meetings, stand-up, and IDT.
• Provide financial reports to the Administrator.

Qualifications

• High school diploma required; associate/bachelor degree preferred.
• Minimum 2 years billing or business office experience (SNF/LTC preferred).
• Strong knowledge of Medicare/Medicaid/Managed Care and PDPM.
• Experience with EHR/billing systems such as MatrixCare or PCC.
• Excellent communication, organizational, and analytical skills.

Benefits Package

• Competitive wages + shift differentials
• Weekly pay!
• 6 paid holidays
• Medical, dental, and vision insurance
• Long- and short-term disability insurance
• Paid time off (PTO)
• 401(k)
• On-site employee education and a supportive work environment

What We Offer

• A dynamic and supportive work environment
• Opportunities for professional growth and development
• A chance to make a real difference in the lives of our patients
• A comprehensive benefits package that includes medical, dental, and vision insurance, paid time off, and more
• A competitive salary and referral bonus program
• Complimentary employee meals and more