Business Office Manager

Legacy Health Services is a resident‑centered skilled nursing and long-term care management company committed to operational excellence and compassionate care. We are seeking an experienced and detail‑oriented Business Office Manager (BOM) to oversee financial operations, billing functions, and office management responsibilities.

The Business Office Manager is responsible for managing all business office functions, including billing, accounts receivable, resident trust accounts, payroll support, and financial recordkeeping. The ideal candidate has experience in long-term care billing systems, Medicaid/Medicare processes, and excels in accuracy, communication, and customer service.

Key Responsibilities

Oversee daily operations of the business office

Manage accounts receivable and billing for Medicare, Medicaid, private pay, and insurance

Complete and process resident admission paperwork, financial forms, and payment agreements

Maintain and reconcile resident trust accounts in compliance with regulations

Review and verify census information, charges, and reimbursement accuracy

Assist with Medicaid applications, redeterminations, and eligibility follow-up

Process vendor invoices and support accounts payable as needed

Assist with payroll processing and staff HR paperwork (depending on facility structure)

Prepare month-end reports and support audits

Provide excellent customer service to residents, families, and external partners

Ensure confidentiality and compliance with all state and federal regulations

Qualifications

Experience as a Business Office Manager, Bookkeeper, or billing specialist in long-term care strongly preferred

Knowledge of Medicaid/Medicare, managed care, and long-term care billing systems

Proficiency with accounting software and Microsoft Office (Excel required)

Strong attention to detail, organization, and problem-solving skills

Excellent communication and customer-service skills

Ability to handle sensitive financial information with confidentiality

High school diploma required; associate degree in accounting or business preferred

What We Offer

Competitive compensation based on experience

Medical, dental, and vision insurance options

Paid time off and paid holidays

Retirement plan options

Supportive leadership team and collaborative work culture

Opportunities for career growth within the organization

We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or non-job related handicap or disability.