Question
2-5

Business Office Manager

4/24/2026

The Business Office Manager is responsible for overseeing accounts receivable, billing, and cash receipts for various payer sources in a skilled nursing facility. They also manage resident trust accounts, prepare financial reports, and supervise the reception staff.

Salary

58000 - 62000 USD

Working Hours

40 hours/week

Company Size

501-1,000 employees

Language

English

Visa Sponsorship

No

About The Company
We are a human services organization supporting individuals in need, of all backgrounds and beliefs, throughout New Hampshire. For more than 75 years, we have brought lasting change to individuals and families struggling with a wide range of issues that impact communities across New Hampshire, such as hunger, poverty, financial despair, mental health, homelessness, unsafe environments for children and isolation among seniors.
About the Role

Description

Join our excellent team of professionals to help meet the medical, social and spiritual needs of the people we serve. St. Ann Rehabilitation and Nursing Center, in Dover, NH, is a beautifully renovated 54 bed facility offering short- and long-term care in a warm and supportive atmosphere where residents are cared for according to their individual needs. We are proud to be a part of Catholic Charities New Hampshire’s continuum of care.


We are looking for a Business Office Manager to join our team.


The right person needs to have experience in the following;

  • Medicare and Medicaid billing in a long-term skilled nursing facility and
  • has working knowledge of accounting principles,
  • Medicare and New Hampshire Medicaid reimbursement systems.

Full time Benefits;


· Outstanding and affordable healthcare plan options with a Health Reimbursement Arrangement (HRA) to reimburse most of your out of pocket expenses.

· Comprehensive medical, dental, and vision coverage

· Earn additional pay of $2400 per year, if you are enrolled in another employer-sponsored health insurance plan

· Critical illness, accident, long-term disability, legal plan and pet insurance available

· Company-paid short-term disability and life insurance

· Flexible Spending Account

· 401K Plan, with 3% automatic employer contribution (after 1 year of employment)


Job Responsibilities include, but are not limited to;

• Prepare preadmission payer source verification

• Participate in the admission, discharge and transfer processes

• Maintain and report accurate daily census information

• Responsible for accounts receivable and billing by payer source (Medicare A / Medicare B; Medicaid; Private and Other Insurance)

• Process cash receipts

• Participate in monthly Triple Check process

• Handle collections by payer source and bad debt reporting

• Assist residents with Medicaid application process as needed

• Prepare monthly and quarterly reports for management

• Manage and reconcile Resident Trust accounts

• Approve facility invoices received from Accounts Payable; assign G/L accounts to be charged

• Prepare reports for annual audit

• Participate in annual budget preparation

• Supervise reception staff.


Requirements

• Associates degree in accounting or equivalent work experience; Bachelor’s degree preferred

• Medicare and Medicaid Billing in a long-term skilled nursing facility.

• On-site position

• Working knowledge of accounting principles, Medicare and New Hampshire Medicaid reimbursement systems

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin, marital or familial status, age or mental or physical handicap

Key Skills
Medicare billingMedicaid billingAccounting principlesReimbursement systemsAccounts receivableCash receiptsCollectionsBad debt reportingMedicaid applicationFinancial reportingResident trust accountsAccounts payableBudget preparationStaff supervision
Categories
Finance & AccountingHealthcareManagement & LeadershipAdministrative
Benefits
Healthcare planHealth Reimbursement ArrangementDental coverageVision coverageCritical illness insuranceAccident insuranceLong-term disability insuranceLegal planPet insuranceShort-term disability insuranceLife insuranceFlexible Spending Account401K Plan
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