Regional Business Office Manager

Job Description

Job Description

We are seeking a detail-oriented, strategic, and experienced  Regional Business Office Manager to lead and manage the revenue cycle process in our skilled nursing facility home facilities. This leadership role ensures timely and accurate billing, collections, and cash posting for all payer types including Medicare, Medicaid, Managed Care, and Private Pay. The Regional Business Office Manager plays a critical role in maintaining financial health, regulatory compliance, and operational efficiency.

Responsibilities:

• Oversee all aspects of accounts receivable, including billing, collections, payment posting, and reconciliation.

• Communicate with teams within the facilities regarding admissions processes to ensure proper collections

• Supervise and support business office staff, ensuring efficiency, accuracy, and accountability in all AR functions.

• Monitor aging reports and implement effective collection strategies.

• Ensure proper documentation and timely submission of claims to all third-party payers.

• Serve as the subject matter expert for Medicare, Medicaid, and Managed Care billing guidelines and requirements.

• Oversee the entire Medicaid Billing process in the state of Connecticut displaying expertise in entering Admissions in Assessment Pro, Denials, Pay starts, Redeterminations, Applied Income Verifications and Medicaid Pending Applications.

• Coordinate with clinical and admissions teams to verify coverage and ensure proper pre-authorizations.

• Review and resolve denials, rejections, and appeals in coordination with billing staff and payers.

• Manage monthly revenue close process and prepare AR-related financial reports for executive leadership.

• Conduct regular AR meetings and provide performance feedback and training to team members.

• Maintain compliance with federal and state regulations, including HIPAA and SNF-specific financial regulations.

• Support audits, both internal and external, and ensure accurate documentation and follow-through.

Qualifications:

• Minimum of 7-10 years of progressive experience in accounts receivable and billing, with at least 2 years in a leadership role.

• Must have 5 years of experience and strong expertise in Medicaid Billing in the state of CT.

• Experience in a skilled nursing facility or long-term care setting (required).

• Proficiency in EHR systems and AR software (e.g., PointClickCare, or similar platforms).

• Excellent leadership, analytical, and communication skills.