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Business Office Manager

Legacy Health Services
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Parma, OH, USA
Nov 08, 2026
Accounting Management
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.
About Legacy Health Services
Job Summary As the Mobile Business Office Manager you will assist with the day to day functions of the business office. The position requires excellent written and verbal communication skills and the ability to organize and prioritize many tasks effectively. Candidate will have frequent interaction with residents, families and the public, and as such, must be able to present in a professional and friendly manner. The candidate must function as both a team member and leader to ensure that the office runs smoothly and quality service is delivered, supporting team members and leading the way in celebrating team successes. Job Responsibilities Directs processing of accounts receivable, adjustments, private and third party agencies, and census information Manages resident trust funds using RFMS and maintains confidential files Manages collection of residents’ accounts receivable to ensure they are collected in a timely manner Organizes, evaluates and monitors business office operations to ensure these functions are performed effectively and efficiently Verifies insurance coverage Demonstrates ability to bill correctly and collect all monies owed following company collection standards Supervises business office staff and recommends adjustments or corrections as required Education and Experience Requirements 3 - 5 years previous experience in a long-term care business office setting College degree in related field preferred Must possess a thorough understanding of Medicare, Medicaid, private insurance, managed care costing and analysis, accounts receivable/collections, resident funds and accounts payable Exemplary computer skills that include knowledge of the Microsoft Office suite of products as well as prior experience with PointClickCare and RFMS Ability to make independent decisions and problem solve as appropriate Ability to plan, organize, develop, and implement the procedures of the business office Ability to positively interact with personnel, customers, family members, visitors, government agencies/personnel and the general public We are proud to offer Comprehensive benefits package including health, dental, vision, disability and life insurance Company sponsored educational opportunities including wound care and IV certification classes for nurses Career advancement opportunities 401(k) with company match through Fidelity Legacy Health Services is a family-owned and operated post-acute care company based in Parma, Ohio. “Our Family Caring for Yours” is as true today as it was when the company was created over fifty years ago. Legacy Health Services provides a complete continuum of care that includes skilled nursing, assisted living, rehabilitation services, long-term care and affiliates that provide full-time nurse practitioners and hospice care. We provide our residents with compassionate care and quality services to meet all of their needs, both clinical and non-clinical. We value each of our residents as individuals, with unique physical, spiritual, social, emotional and intellectual needs. Our goal is to treat everyone like family- with compassion, respect and kindness. To learn more, visit lhshealth.com We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, national orientation, age, sexual orientation, marital or veteran status, or non-job related handicap or disability.
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