Senior Business Office Manager

n ashuarehab; Nashua (NH); On-site; USD 80,000 - 105,000; Full time

Benefits offered by this job

Tuition reimbursement

Employee referral bonus

Health, vision, and dental benefits

401(k) with match

Employee engagement and culture

Company-sponsored life insurance

Employee assistance program (EAP)

Job summary

Nashua Post Acute and Healthcare Center is seeking a Senior Business Office Manager to oversee the center's financial operations, ensure accurate billing, and maintain regulatory compliance. You will lead the business office team and serve as the primary escalation resource for unresolved balances and Medicaid eligibility issues.

The role requires hands-on leadership, strong communication, and a demonstrated ability to manage complex financial conversations with residents and families, while

Qualifications

• Exceptional communication and interpersonal skills.
• Strong customer service mindset and professionalism.
• Highly organized with attention to detail and accuracy.
• Proven ability to manage multiple priorities in a fast-paced environment.
• Strong problem-solving skills and process improvement mindset.
• Ability to maintain confidentiality and exercise sound judgment.

Responsibilities

• Lead, train, and support the business office team with clear priorities and expectations.
• Monitor follow-up activity, deadlines, and outstanding issues for timely closure.
• Coach staff on collections, documentation, and family communication.
• Own escalated accounts and intervene when routine follow-up fails.
• Keep Administrator and corporate team informed of significant financial risks and next steps.

Skills

Communication skills

Leadership

Organization

Problem-solving

Confidentiality

Customer service

Billing knowledge

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Join our team at Nashua Post Acute and Healthcare Center as a Senior Business Office Manager

At Nashua Post Acute and Healthcare Center, we believe that strong financial stewardship and exceptional customer service are essential to supporting outstanding resident care. Guided by our core values of Passion, Respect, and Excellence, the Business Office Manager oversees the center's financial operations while ensuring accurate billing, regulatory compliance, and outstanding service for residents, families, and team members.

The Senior Business Office Manager has the experience, assertiveness, and professionalism to lead the business office team and take ownership of collection and account resolution. This position requires a hands‑on leader who can set clear expectations, hold team members accountable, and confidently manage challenging financial conversations with residents and families. The Senior Business Office Manager will serve as the primary escalation resource for unresolved balances, missed payment commitments, and delays in providing information needed for Medicaid eligibility and payer coverage. The ideal candidate combines strong technical knowledge of skilled nursing billing with persistence, diplomacy, and the ability to move difficult situations toward resolution while treating residents and families with dignity and respect.

Responsibilities for Senior Business Office Manager

• Lead, train, and support the business office team, establishing clear priorities, responsibilities, and performance expectations.

• Monitor follow‑up activity, deadlines, and outstanding issues to ensure timely completion.

• Coach staff on collections, documentation, family communication, and problem‑solving.

• Take ownership of escalated accounts and intervene when routine follow‑up has not produced results.

• Keep the Administrator and corporate team informed of significant financial risks, barriers, and recommended next steps.

Qualifications for Senior Business Office Manager

• Skilled Nursing experience required.

• Minimum of two (4+) years of bookkeeping or business office experience within a healthcare setting, including accounts receivable, accounts payable, billing, collections, and financial record management.

• Experience leading others or supervisory experience.

• Prior experience in a Long‑Term Care, Rehabilitation, or Post‑Acute Care setting preferred.

• Strong knowledge of billing processes, collection practices, reimbursement systems, and financial best practices.

• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook.

• Exceptional communication and interpersonal skills, with the ability to interact professionally and compassionately with residents, families, employees, vendors, and community partners.

• Demonstrated ability to build positive relationships and foster trust through collaboration, accountability, and respect.

• Strong customer service mindset with a commitment to creating positive experiences for residents, families, and team members.

• Highly organized with exceptional attention to detail and accuracy.

• Proven ability to effectively manage multiple priorities in a fast‑paced environment while maintaining a positive attitude.

• Strong problem‑solving skills with the ability to identify opportunities for process improvement and operational excellence.

• Ability to maintain confidentiality and exercise sound judgment when handling sensitive information.

• Passion for supporting the mission of providing exceptional care and services to residents and their families.

Our Core Values in Action

Passion – Supporting residents and families through accurate financial services and exceptional customer care.

Respect – Building trust through professionalism, confidentiality, and compassionate communication.

Excellence – Maintaining the highest standards of financial integrity, operational efficiency, and regulatory compliance.

Benefits for Senior Business Office Manager

• Tuition reimbursement

• Employee referral bonus

• Health, vision, and dental benefits

• 401(k) with match

• Employee engagement and culture committee

• Company‑sponsored life insurance

• Employee assistance program (EAP) resources

Join our team at Nashua Post Acute and Healthcare Center, a 292‑bed Sub‑Acute, and Long‑Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home‑like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference.

Here, you’ll be part of a collaborative and dedicated team that prioritizes professional growth, work‑life balance, and a culture of appreciation. If you’re passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us.

The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.