Business Office Manager
Company: Elm Wood Center
Location: Claremont
Posted on: April 7, 2026
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Job Description:
Overview: Now Hiring Under NEW Administration We are seeking a
Business Office Manager at our Elm Wood Center Located in
Claremont, NH Full Time / Day Shift Apply Today! At Genesis
Healthcare, 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: The Business Office Manager “BOM” must be
familiar with company policies and procedures related to all areas
of Revenue Cycle Management, which includes census, ancillaries,
billing, adjustments, deposits, collections, Medicaid Pending and
resident funds. The BOM must also have a working knowledge of
accounts payable. The BOM oversees all business office functions
and is responsible for ensuring policy and procedure compliance in
all related areas. The BOM must strive to meet all RCM goals. This
position regularly supervises 2 or more full time employees (or
equivalent to 2 employees) within the center’s business
office/administration department which may include Assistant Bus.
Office Manager, Bookkeepers, and Receptionists. The BOM regularly
interfaces with the Center Executive Director and other department
heads including admissions, clinical, social service, etc.
Additionally, the BOM works closely with the Revenue Cycle Manager
in their market for training and support and communicates regularly
with the Centralized Billing Office (CBO). They also interface with
responsible parties, attorneys and outside agencies on financial
issues. RESPONSIBILITIES/ACCOUNTABILITIES: 1. Manages, trains,
organizes, evaluates and monitors business office staff, which may
include but is not limited to Assistant Business Office Manager,
Bookkeeper and Receptionists, as well as delegates administrative
authority, responsibility and accountability to other office
personnel as necessary and as applicable; 2. Responsible to meet
deadlines for approving timecards and requests for time off for
direct reports in relation to center’s payroll cycle; 3. Ensures
systems and controls are in place and adheres to all policy and
procedures outlined in policy manuals and meets established daily,
weekly and monthly deadlines; 4. Follows RCM business processes and
oversees timely and accurate completion of all business office
functions in the areas of census, ancillaries, billing,
adjustments, collections, write offs, refunds and deposits; 5.
Manages all Resident Trust Fund procedures and ensures strict
compliance with all state and federal regulations as well as
company policies and maintains confidential files; 6. Meets with or
directs office staff to conduct a 72-hour financial meeting with
new admissions (resident and/or responsible party) to explain
financial obligations and paperwork, reviews uploaded admission
files and reports missing financial information to center team; 7.
Complies with and monitors staff compliance with segregation of
duties for cash handling and posting; 8. Meets with, or ensures
that another staff member meets with, residents/responsible parties
upon discharge to explain any remaining financial obligations; 9.
Monitors private spend down and timely conversions to Medicaid
Pending; manages Medicaid Pending tracking and all related
processes including county escalation to obtain approvals and use
of outside attorney for Guardianship or assistance with
uncooperative resident/family; 10. Ensures private advance billing
is completed according to scheduled date and deadline; manages all
month end processes, including completion of data entry, review and
correction of trial claims, census reconciliation and all other
checklist tasks; ensures deadlines are met and month end close is
completed by the established time on the third workday; 11. Manages
the center accounts receivable collection responsibilities for
private pay following the collection timeline; manages collection
of decentralized payers; ensures accurate census and billing
information for the timely filing of third party claims; 12.
Strives to meet RCM goals which include bad debt expense, cash
collections, private credit reduction and other goals as
communicated by RCM leadership; analyzes bad debt expense results
and develops action plans for improvement as applicable; 13.
Participates and/or coordinates routine Revenue Cycle Management
Reviews and maintains collection notes in the PCC collection module
for payers the center is responsible for; keeps Center Executive
Director (CED) abreast of collection issues and requests escalation
as needed; monitors collection notes on third party accounts;
responds timely to CBO requests for assistance or information via
the assigned activities in the collection module; 14. Recommends
and prepares accounts for outside agencies, attorneys, and write
off as applicable; 15. Attends center morning meetings, IDT/UM/UR
meetings and other center or RCM required meetings and calls; 16.
Participates in all BOM training sessions, implements new processes
with business office staff, follows the RCM calendar and reviews
monthly RCM Newsletter; 17. Prepares documentation for internal and
external auditors; works with Revenue Cycle Manager to help resolve
G/L variances; 18. Puts customer service first: Ensures that
residents and families receive the highest quality of service in a
caring and compassionate atmosphere which recognizes the
individuals’ needs and rights; 19. Performs other duties as
assigned. Qualifications: 1. High school degree with a minimum of
five years’ experience in long term care billing and collection
experience preferred. 2. Additional coursework in
accounting/finance is recommended. 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 $60,000.00 - USD $75,000.00
/Yr.
Keywords: Elm Wood Center, Brookline , Business Office Manager, Accounting, Auditing , Claremont, Massachusetts
