Regional Business Office Director

Skilled Healthcare Center; Massachusetts; On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Competitive wages

Weekly pay

Medical, dental, and vision insurance

401(k)

Paid time off (PTO)

On-site employee education

Job summary

Skilled Healthcare Center in Massachusetts is seeking a Regional Business Office Director to oversee all financial and billing operations for the facility. The BOM ensures accurate resident billing, timely reimbursement, and proper handling of accounts receivable and payable while coordinating with the interdisciplinary team.

You will lead the business office staff, monitor payer rules (Medicare/Medicaid/PDPM), manage month-end closes, census reconciliations, and financial screening for

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.

Responsibilities

• Oversee and manage all financial, billing, and related operations.
• Maintain accurate billing for Medicare, Medicaid, Managed Care, and private pay.
• Close month-end and census reconciliations.
• Review PDPM components and payer rules.
• Monitor authorizations, coverage periods, and eligibility.
• Collaborate with MDS and Nursing for documentation compliance.
• Monitor aging, follow up on balances.
• Communicate with families, insurers, and responsible parties.
• Assist with admissions financial screening and Medicaid applications.
• Oversee accounts payable and cash management.
• Ensure CMS, Medicaid/MassHealth compliance and HIPAA.
• Provide financial reports to Administrator.

Skills

Billing knowledge

PDPM knowledge

EHR/billing systems

Communication skills

Analytical skills

Education

High school diploma

Associate/Bachelor 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.

Responsibilities

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