Senior Business Office Manager - Medicaid & Billing Lead

West Chester Rehabilitation & Healthcare Center; West Chester (Chester County); On-site; USD 75,000 - 90,000; 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 comité

Company-sponsored life insurance

Employee assistance program (EAP)

Job summary

West Chester Rehabilitation and Healthcare Center is seeking a Business Office Manager for a full-time role in a long-term care setting. The position offers $75,000–$90,000 per year and focuses on accurate billing and Medicaid processes.

You will oversee daily financial operations, coordinate with residents and families, ensure regulatory compliance, and support budgeting and month-end reporting.

Qualifications

• Skilled Nursing and Medicaid experience is required.
• Minimum of two years in bookkeeping within a healthcare setting.
• Strong organizational and interpersonal skills are essential.

Responsibilities

• Oversee daily Business Office operations including billing, AR/AP, and records.
• Ensure accurate resident billing, reimbursements, collections, and reporting.
• Manage Medicaid applications, eligibility screenings, and document collection.
• Track Medicaid from initiation to approval and follow up on delays.
• Communicate with residents, families, caseworkers regarding documentation.
• Ensure compliance with federal/state/payer regulations.

Skills

Medicaid experience

Bookkeeping

Accounts receivable

Accounts payable

Billing

Financial reporting

Communication skills

Tools

Microsoft Office

Job description

West Chester Rehabilitation and Healthcare Center is seeking a Business Office Manager for a full-time role in a long-term care setting. The position offers $75,000–$90,000 per year and focuses on accurate billing and Medicaid processes.

You will oversee daily financial operations, coordinate with residents and families, ensure regulatory compliance, and support budgeting and month-end reporting.