Skilled Nursing Billing & AR Manager

HireCare LLC; Arlington (MA); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Weekly pay

Six paid holidays

Health insurance

Dental insurance

Vision insurance

Disability insurance

PTO

401(k) retirement plan

Education opportunities

Supportive work environment

Referral bonus program

Employee meals

Job summary

HireCare LLC is recruiting for a fully qualified Business Office Manager (BOM) at a local skilled nursing facility in Arlington, MA. The BOM will oversee billing, AR, reimbursements, and financial management, coordinating with nursing and admissions to ensure compliant, timely revenue cycle processes.

The role focuses on Medicare/MassHealth, PDPM considerations, and accurate financial reporting, with supervision of business office staff and collaboration with facility leadership to enhance

Qualifications

• High school diploma or equivalent is required; an associate or bachelor's degree is preferred.
• At least two years of healthcare billing, AR, or business office experience.
• Skilled nursing or long-term care experience preferred.
• Knowledge of Medicare, MassHealth/MassHealth, managed care, and skilled nursing reimbursement.
• Familiarity with PDPM, insurance authorizations, collections, and month-end reconciliation.
• Experience with healthcare billing or EHR systems such as PointClickCare or MatrixCare is preferred.
• Strong analytical, organizational, communication, and problem-solving skills.
• Ability to manage multiple priorities, maintain confidentiality, and work with leadership.

Responsibilities

• Oversee billing for Medicare, Medicaid/MassHealth, managed care, and private-pay residents.
• Manage month-end closing, census reconciliation, and billing reviews.
• Review reimbursement requirements and payer guidelines.
• Monitor insurance authorizations, eligibility, coverage periods, and reimbursement status.
• Collaborate with nursing, MDS, admissions to ensure accurate documentation and reimbursement.
• Identify and resolve billing discrepancies, denials, and delays.
• Monitor AR aging and follow up on outstanding balances.
• Coordinate collections with insurers, residents, families, and responsible parties.
• Investigate and resolve payment discrepancies and questions.
• Establish payment arrangements when appropriate.
• Maintain accurate, complete resident financial records.
• Identify opportunities to improve collection performance and reduce aged receivables.
• Support admissions through financial screening and payer-source verification.
• Explain insurance coverage and financial responsibilities to residents and families.
• Assist with Medicaid/MassHealth applications and renewals.
• Ensure admission agreements and financial forms are complete on time.
• Coordinate with admissions staff for smooth financial transition of new residents.
• Review invoices and supporting documentation for timely payments.
• Maintain records of financial transactions and accounts payable.
• Oversee petty cash and resident trust funds as applicable.
• Complete monthly reconciliations with proper documentation.
• Ensure internal controls for cash handling and records.
• Maintain CMS/Medicare/MassHealth/HIPAA compliance and policies.
• Prepare financial audits, regulatory surveys, and reviews.
• Safeguard confidential resident information and records.
• Prepare financial reports and present key findings to leadership.
• Participate in QAPI initiatives as needed.
• Supervise, train, and support business office staff.
• Establish procedures for billing, collections, reconciliation, and reporting.
• Provide professional service to residents, families, and staff.
• Participate in leadership and interdisciplinary team meetings.
• Collaborate with facility leadership to improve financial performance.

Skills

Analytical skills

Organizational skills

Communication skills

Problem-solving skills

Multi-tasking

Team collaboration

Education

High school diploma or equivalent

Associate or bachelor's degree in accounting/finance/business (preferred)

Tools

PointClickCare

MatrixCare

Job description

HireCare LLC is recruiting for a fully qualified Business Office Manager (BOM) at a local skilled nursing facility in Arlington, MA. The BOM will oversee billing, AR, reimbursements, and financial management, coordinating with nursing and admissions to ensure compliant, timely revenue cycle processes.

The role focuses on Medicare/MassHealth, PDPM considerations, and accurate financial reporting, with supervision of business office staff and collaboration with facility leadership to enhance