Regional Business Office Manager

American Medical Administrators LTC; Boston (MA); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Disability Insurance

Vision Insurance

Employee Assistance Program

401(k)

Life Insurance

Paid Time Off

Telemedicine: $0 co-pay

Unlimited Assistance

Mayo Clinic Programs

Job summary

American Medical Administrators is seeking a Regional Business Office Manager to lead facility business office operations across multiple locations in the Boston area. The role focuses on billing, collections, cash posting, and AR in a patient-centered, compliant environment.

You will mentor staff, manage resident trust accounts, and collaborate with corporate teams to improve revenue cycle outcomes. Travel to facilities will be required, with weekend/evening hours as needed.

Qualifications

• Experience with Medicare & Medicaid reimbursement.
• Long-term care billing and accounts receivable experience.
• Ability to oversee billing practices and revenue cycle processes.
• Experience with resident trust accounts and regulatory compliance.
• Strong analytical and problem-solving skills.

Responsibilities

• Provide oversight and support to facility business office operations across multiple locations.
• Monitor and guide billing, collections, cash posting, and accounts receivable processes.
• Support management of resident trust funds and ensure regulatory compliance.
• Review daily banking activity, deposits, and cash reconciliation.
• Ensure adherence to Social Security, State, Medicaid, Medicare, and other payer regulations.
• Assist with Medicaid pending, denials, aging, collections, and reimbursement issues.
• Oversee Social Security Representative Payee processes where applicable.
• Partner with facility leadership and corporate teams to improve revenue cycle outcomes.
• Conduct audits, reviews, and follow-up related to billing practices, trust accounts, and financial processes.
• Train, mentor, and support Business Office Managers and other staff.
• Assist with month-end processes, financial reporting, and standardization across buildings.
• Travel to assigned facilities as needed for on-site support and leadership.

Skills

Strong organizational skills

Analytical thinking

Problem-solving

Team player

Willingness to travel

Tools

Microsoft Office

Job description

At the core of American Medical Administrators exists a foundation rooted in integrity, work ethic, and competence. These pillars generate the inertia that produce our organization’s results. Every action taken, big or small, is based on the premise of "doing the right thing," period.

We are seeking individuals with genuine empathy, patience, and a strong operational mindset to support our facilities and business office teams. Applicants must have a caring approach, a collaborative spirit, and a commitment to supporting both residents and team members. The pillars for successful employment are work ethic, integrity, and competence.

We are currently seeking a Regional Business Office Manager.

Job Responsibilities and Duties

• Provide oversight and support to facility business office operations across multiple locations

• Monitor and guide billing, collections, cash posting, and accounts receivable processes

• Support the management of resident trust funds and ensure compliance with all applicable regulations

• Review daily banking activity, deposits, and cash reconciliation processes for assigned facilities

• Ensure proper adherence to Social Security, State, Medicaid, Medicare, and other payer regulations

• Assist facilities with Medicaid pending, denials, aging, collections, and reimbursement issues

• Oversee Social Security Representative Payee processes where applicable

• Partner with facility leadership and corporate teams to improve revenue cycle outcomes

• Conduct audits, reviews, and follow-up related to billing practices, trust accounts, and financial processes

• Train, mentor, and support Business Office Managers and other facility-level business office staff

• Assist with month-end processes, financial reporting, and operational standardization across buildings

• Travel to assigned facilities as needed to provide on-site support and leadership

Requirements

Experience and/or knowledge of:

• Medicare & Medicaid reimbursement

• Long-term care billing and collections

• Consolidation of billing processes

• Management of resident trust accounts

• Daily cash/check deposits and reconciliation

• Accounts receivable follow-up and aging management

• Daily staffing and financial reporting

• Purchase order processes and facility business office operations

Additional qualifications:

• Previous work in a long-term care facility required

• Minimum of two years of related business office leadership experience, preferably in a multi-site or regional capacity

• Proficiency with Microsoft Office

• Strong organizational, analytical, and problem-solving skills

• Team player with excellent work ethic and positive attitude

• Willingness to travel, and work occasional weekend and evening hours as needed

Benefits

• Health Insurance

• Dental Insurance

• Disability Insurance

• Vision Insurance

• Employee Assistance Program

• 401(k)

• Life Insurance

• Paid Time Off

Additional Benefits

• Telemedicine:$0 co-pay for telemedicine appointments, providing easy access to medical consultations from the comfort of your home.

• Unlimited Assistance:Receive unlimited support for legal, financial, childcare, elder care, and more—designed to support your personal and family well-being.

• Mayo Clinic Programs:Access exclusive programs from the Mayo Clinic, including resources for workouts, lifestyle, mental health, and diet to promote a balanced and healthy lifestyle.

These additional benefits are available to you without reducing your take-home pay!