Business Office Manager

Job Description

Job Description

Business Office Manager (BOM) – Skilled Nursing Facility

Location: Baltimore, Maryland

We are seeking an experienced Business Office Manager (BOM) for a Skilled Nursing Facility in Maryland. The ideal candidate is a proven Medicaid specialist with a deep understanding of long-term care reimbursement, eligibility, and ongoing case management.

Key Responsibilities

• Serve as the primary Medicaid expert for the facility

• Manage Medicaid applications, redeterminations, spend-downs, and approvals

• Track and follow up on pending Medicaid cases to ensure timely reimbursement

• Maintain accurate resident trust accounts and private-pay billing

• Ensure compliance with Maryland Medicaid regulations and facility policies

• Coordinate with admissions, social services, and administration to prevent coverage gaps

• Prepare for and support audits, surveys, and financial reviews

• Oversee AR, billing accuracy, and census-related financial processes

• Communicate professionally with residents, families, and state agencies

Required Qualifications

• Experience as a Business Office Manager or Medicaid Specialist in a SNF is required

• Hands-on Maryland Medicaid experience required (applications, renewals, denials, appeals)

• Strong knowledge of long-term care billing, trust accounts, and AR

• Excellent organization, follow-through, and documentation skills

• Ability to work independently and own the Medicaid process

Qualifications

• Experience as a Business Office Manager/Medicaid Specialist in the state of Maryland

• Familiarity with PointClickCare 

• History of maintaining high Medicaid conversion rates

What We Offer

• Competitive salary 

• Health, Dental, Vision, 401K 

• Stable leadership and operational support

If you are a true Medicaid specialist who knows SNF business office operations inside and out, we want to hear from you.

 

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