Skilled Nursing Facility Business Office Manager

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

Benefits offered by this job

Variable compensation

Tuition discounts

Travel discounts

Wireless discounts

Employee Assistance

Employee Foundation

Health insurance

Dental insurance

Vision insurance

Life insurance

401K

Paid time off

Virtual health care

On-Demand pay

Pet insurance

Job summary

Genesis HealthCare is seeking a Business Office Manager to oversee all revenue cycle activities from pre-admission to discharge, ensuring accurate billing and timely collections. You will lead a multi-member business office team, drive Medicaid tracking, and uphold compliance with state and corporate guidelines in a collaborative setting.

You will partner with Admissions, Clinical Reimbursement, and Social Services to deliver high-quality patient account management and financial stewardship

Qualifications

• Minimum high school diploma or equivalent.
• Accounting or finance coursework preferred.
• At least five years in billing and collections.
• Strong understanding of RCM systems and metrics.
• Collaborative mindset with team leadership.
• Professional conduct with residents and leaders.

Responsibilities

• Oversee revenue cycle from pre-admission to discharge.
• Lead census, billing, collections, adjustments, Medicaid tracking.
• Collaborate across Admissions, Clinical Reimbursement, Social Services.
• Ensure compliance with guidelines and cash handling.
• Use revenue cycle metrics to identify challenges and solutions.
• Partner with Market RCM leaders.

Skills

RCM knowledge

Collaboration

Leadership

Communication

Education

High school diploma

Accounting/Finance coursework

Tools

RCM 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 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
• On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

We also offer several voluntary insurances such as:

• 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.

Genesis HealthCare, Inc. and all affiliated entities (collectively “Genesis”) has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all employees and applicants for employment without regard to actual or perceived race, color, religion, gender, gender expression, gender identity, sex, sexual orientation, HIV status, national origin, age, disability, marital status, pregnancy, ancestry, citizenship, genetic information, amnesty, military status or status as protected veterans, or any other legally protected characteristic. Genesis is an Affir