Skilled Nursing Facility Business Office Manager

Genesis HealthCare, Inc.; Ridgewood (NJ); On-site; USD 65,000 - 80,000; Full time

Benefits offered by this job

Tuition discounts

Travel discounts

Wellness program

Employee Assistance

Health insurance

401K

Paid time off

On-site health care

Life insurance

Disability (short-term)

Pet insurance

Job summary

Genesis HealthCare, Inc. in Ridgewood, New Jersey, is seeking a proactive Business Office Manager to oversee the full revenue cycle from pre-admission to discharge, optimize collections, and ensure regulatory compliance.

You will lead an office team, partner with Admissions, Clinical Reimbursement, and Social Services, and use performance metrics like AR aging, bad debt, and DSO to drive sustainable improvements for residents and centers.

Qualifications

• A high school diploma or equivalent is required.
• Degree or coursework in accounting or finance preferred.
• At least five years of billing and collections experience, ideally in long-term care.
• Strong understanding of RCM metrics and processes.
• Ability to lead and develop a business office team.
• Professionalism in working with residents, families, and center leaders.

Responsibilities

• Oversee revenue cycle management from pre-admission to discharge.
• Lead census, billing, collections, adjustments, and Medicaid tracking.
• Collaborate with Admissions, Clinical Reimbursement, and Social Services.
• Provide financial guidance during admission and discharge.
• Ensure compliance with state, federal, and corporate guidelines.

Skills

RCM expertise

Billing & collections

Leadership

Collaboration

Regulatory compliance

Education

High school diploma

Accounting/Finance coursework

Long-term care billing experience

Tools

RCM software

Billing systems

Job description

Overview

We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities

Healthcare is evolving. Patients and their families expect more from healthcare centers and team members - they expect a well-evaluated, personalized quality of service that meets them where they are. They expect skilled practitioners and experts that push the boundaries of ordinary service to excellence in care. This is a new era of skilled nursing and long term care - one that empowers and nurtures, leads with compassion, and leaves a lasting impression.

We know that we can only accomplish this if we have passionate healthcare providers and skilled experts in our centers, close to the patients themselves, and connected to their outcomes. Join our diverse team of passionate healthcare providers working to create vitality for life.

• Are you experienced in driving Revenue Cycle Management (RCM) performance at the center level, with a focus on measurable outcomes?
• Can you lead and improve all aspects of the revenue cycle—from pre-admission through discharge—to maximize timely and accurate revenue collection?
• Do you thrive in a collaborative environment, working closely with Market leaders and support teams to achieve positive accounts receivable (AR) outcomes?
• Are you confident in identifying training needs and communicating them effectively to ensure continuous performance improvement across your team?
• Do you consistently demonstrate a strong understanding of your responsibilities and ensure tasks are executed with attention to detail and timeliness?
• Are you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement, and Social Services to maintain accurate and compliant patient account management?

What You’ll Do:

As a Business Office Manager, you’ll oversee the full spectrum of revenue cycle management functions — from pre-admission to discharge. Your focus will be on optimizing collections, ensuring compliance, and leading a high-performing business office team that may include Assistant Business Office Managers, Bookkeepers, and Receptionists.

You will:

• Lead day-to-day revenue operations including census management, billing, collections, adjustments, and Medicaid tracking.
• Collaborate across departments including Admissions, Clinical Reimbursement, and Social Services to ensure accurate and timely patient account management.
• Act as a financial liaison during the resident journey — from conducting financial interviews during admission to assisting with discharge obligations.
• Support compliance with state, federal, and corporate guidelines — including cash handling procedures and segregation of duties.
• Use your expertise in revenue cycle performance metrics (bad debt, cash collections %, AR aging, and DSO) to identify challenges and develop sustainable, action-oriented solutions.
• Partner with Market RCM leaders to align with broader business office initiatives and access tools and support as needed.

Qualifications

• A high school diploma or equivalent is required
• A degree or post-secondary education or additional coursework in accounting or finance is preferred.
• At least five years of experience in billing and collections is required - experience in billing and collections in a long-term care setting is preferred.
• A strong understanding of RCM systems, processes, and performance metrics.
• A collaborative mindset with the ability to lead and develop a business office team.
• Confidence and professionalism in working with residents, families, and center leaders.

Benefits

• Variable compensation plans
• Tuition, Travel, and Wireless Service Discounts
• Employee Assistance Program to support mental health
• Employee Foundation to financially assist through unforeseen hardships
• Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
• Free 24/7virtual health careprovided by licensed doctorsforall Anthemmedically-enrolled employees and theirimmediate family members
• On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
• Pet Insurance
• Term and Whole Life Insurance
• Short-term Disability
• Hospital Indemnity
• Personal Accident
• Critical Illness
• Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $65,000.00 - USD $80,000.00 /Yr.