Business Office Manager (BOM)

HireCare is recruiting on behalf of a local skilled nursing facility in the Arlington, Massachusetts, surrounding area seeking an experienced Business Office Manager (BOM) to oversee business office operations, accounts receivable, billing, reimbursement, collections, and financial management.

This is an excellent opportunity for a detail-oriented healthcare finance professional with experience in skilled nursing or long-term care. The ideal candidate will have a strong understanding of Medicare, Medicaid/MassHealth, managed care reimbursement, and accounts receivable management, along with the leadership skills needed to support accurate financial reporting and efficient business office operations.

The successful candidate will work closely with facility leadership, admissions, nursing, and other departments to ensure accurate billing, timely reimbursement, regulatory compliance, and professional service to residents and their families.

Key Responsibilities

Billing & Reimbursement

• Oversee accurate and timely billing for Medicare, Medicaid/MassHealth, managed care, and private-pay residents.

• Manage month-end closing procedures, census reconciliation, and billing reviews.

• Review reimbursement requirements, including Patient-Driven Payment Model (PDPM) components and payer-specific guidelines.

• Monitor insurance authorizations, eligibility, coverage periods, and reimbursement status.

• Collaborate with nursing, MDS, admissions, and other departments to ensure accurate documentation and appropriate reimbursement.

• Identify and resolve billing discrepancies, denials, and payment delays.

Accounts Receivable & Collections

• Monitor accounts receivable aging reports and follow up on outstanding balances.

• Coordinate collections with insurance providers, residents, families, and responsible parties.

• Investigate and resolve payment discrepancies and billing questions.

• Establish payment arrangements when appropriate.

• Maintain accurate, complete, and confidential resident financial records.

• Identify opportunities to improve collection performance and reduce aged receivables.

Admissions & Financial Counseling

• Support admissions through financial screening and payer-source verification.

• Explain insurance coverage, payment options, and financial responsibilities to residents and families.

• Assist with Medicaid/MassHealth applications, renewals, and required documentation.

• Ensure admission agreements and financial forms are completed accurately and on time.

• Coordinate with admissions staff to support a smooth financial transition for new residents.

Accounts Payable & Cash Management

• Review invoices and supporting documentation and coordinate timely payments.

• Maintain accurate records of financial transactions and accounts payable.

• Oversee petty cash and resident trust fund procedures, as applicable.

• Complete monthly reconciliations and maintain appropriate supporting documentation.

• Ensure proper internal controls and safeguards for cash handling and financial records.

Compliance & Financial Reporting

• Maintain compliance with applicable CMS, Medicare, Medicaid/MassHealth, HIPAA, and organizational policies.

• Prepare documentation for financial audits, regulatory surveys, and reviews.

• Safeguard confidential resident information and financial records.

• Prepare financial reports and communicate key findings to facility leadership.

• Participate in Quality Assurance and Performance Improvement (QAPI) initiatives as needed.

Leadership & Communication

• Supervise, train, and support business office staff.

• Establish consistent procedures for billing, collections, reconciliation, and reporting.

• Provide responsive, professional service to residents, families, and facility staff.

• Participate in leadership meetings and interdisciplinary team meetings.

• Partner with facility leadership to improve financial performance, accuracy, and operational efficiency.

Qualifications

• High school diploma or equivalent required; an associate or bachelor's degree in accounting, finance, business administration, or a related field is preferred.

• At least two years of experience in healthcare billing, accounts receivable, or business office operations.

• Skilled nursing facility or long-term care experience strongly preferred.

• Knowledge of Medicare, Medicaid/MassHealth, managed care, and skilled nursing reimbursement processes.

• Familiarity with PDPM, insurance authorizations, collections, and month-end reconciliation.

• Experience with healthcare billing or electronic health record systems, such as PointClickCare or MatrixCare, preferred.

• Strong analytical, organizational, communication, and problem-solving skills.

• Ability to manage multiple priorities, maintain confidentiality, and work collaboratively with facility leadership.

Compensation & Benefits

• Competitive salary of $65,000 to $85,000 per year, based on experience

• Weekly pay

• Six paid holidays

• Medical, dental, and vision insurance

• Short-term and long-term disability insurance

• Paid time off (PTO)

• 401(k) retirement plan

• On-site employee education and professional development opportunities

• Supportive work environment

• Employee referral bonus program

• Complimentary employee meals and additional workplace perks

Why Join This Team?

This is an opportunity to play a key role in the financial and operational success of a local skilled nursing facility while supporting the delivery of quality resident care. As Business Office Director, you will help strengthen revenue cycle performance, improve reimbursement outcomes, maintain accurate financial processes, and support residents, families, and facility staff.

HireCare partners with healthcare organizations to connect qualified professionals with meaningful career opportunities.

How to Apply

If you have experience in healthcare billing, accounts receivable, or skilled nursing business office operations, we encourage you to apply today. HireCare looks forward to connecting with qualified candidates and helping them explore this opportunity.