Regional Business Office Manager

Skilled Healthcare Center; Branford (CT); On-site; USD 90,000 - 130,000; Full time

Job summary

Skilled Healthcare Center seeks a Regional Business Office Manager to drive the revenue cycle for our skilled nursing facilities, overseeing billing, collections and AR postings across Medicare, Medicaid, Managed Care, and Private Pay while ensuring timely claims and regulatory compliance.

You will lead the business office team, drive process improvements, monitor aging, handle denials and appeals, and collaborate with admissions and clinical staff to verify coverage; CT Medicaid expertise and

Qualifications

• 7–10 years in accounts receivable and billing, with 2+ years in a leadership role.
• 5 years of Medicaid Billing experience in the state of CT.
• Experience in a skilled nursing facility or long-term care setting.
• Proficient in EHR systems and AR software.

Responsibilities

• Oversee AR processes: billing, collections, posting, and reconciliation.
• Coordinate admissions to ensure proper collections and coverage verification.
• Lead and develop business office staff with performance feedback.
• Monitor aging reports and implement effective collection strategies.
• Manage Medicaid billing process and deny/appeal resolution.
• Prepare AR reports for executive leadership and monthly close.
• Ensure HIPAA and SNF financial regulation compliance.
• Support internal and external audits with documentation.

Skills

Leadership

Billing expertise

Communication

Analytical skills

Tools

PointClickCare

Job description

We are seeking a detail-oriented, strategic, and experienced Regional Business Office Manager to lead and manage the revenue cycle process in our skilled nursing facility home facilities. This leadership role ensures timely and accurate billing, collections, and cash posting for all payer types including Medicare, Medicaid, Managed Care, and Private Pay. The Regional Business Office Manager plays a critical role in maintaining financial health, regulatory compliance, and operational efficiency.

Responsibilities:

• Oversee all aspects of accounts receivable, including billing, collections, payment posting, and reconciliation.
• Communicate with teams within the facilities regarding admissions processes to ensure proper collections
• Supervise and support business office staff, ensuring efficiency, accuracy, and accountability in all AR functions.
• Monitor aging reports and implement effective collection strategies.
• Ensure proper documentation and timely submission of claims to all third-party payers.
• Serve as the subject matter expert for Medicare, Medicaid, and Managed Care billing guidelines and requirements.
• Oversee the entire Medicaid Billing process in the state of Connecticut displaying expertise in entering Admissions in Assessment Pro, Denials, Pay starts, Redeterminations, Applied Income Verifications and Medicaid Pending Applications.
• Coordinate with clinical and admissions teams to verify coverage and ensure proper pre-authorizations.
• Review and resolve denials, rejections, and appeals in coordination with billing staff and payers.
• Manage monthly revenue close process and prepare AR-related financial reports for executive leadership.
• Conduct regular AR meetings and provide performance feedback and training to team members.
• Maintain compliance with federal and state regulations, including HIPAA and SNF-specific financial regulations.
• Support audits, both internal and external, and ensure accurate documentation and follow-through.

Qualifications:

• Minimum of 7-10 years of progressive experience in accounts receivable and billing, with at least 2 years in a leadership role.
• Must have 5 years of experience and strong expertise in Medicaid Billing in the state of CT.
• Experience in a skilled nursing facility or long-term care setting (required).
• Proficiency in EHR systems and AR software (e.g., PointClickCare, or similar platforms).
• Excellent leadership, analytical, and communication skills.