Genesis Healthcare, Inc

Business Office Manager

Genesis Healthcare, Inc$120K — $140K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • High school diploma or equivalent required; degree or coursework in accounting or finance preferred.
  • 5+ years of billing and collections experience required, preferably in long-term care settings.
  • Strong understanding of revenue cycle management systems and performance metrics.
  • Collaborative leader capable of team development.
  • Confidence in engaging with residents, families, and center leaders.

Responsibilities

  • Oversee revenue cycle management from pre-admission to discharge.
  • Optimize collections and compliance across the business office.
  • Collaborate with various departments for accurate patient account management.
  • Act as a financial liaison during the resident journey.
  • Support compliance with financial guidelines and cash handling procedures.
  • Use revenue cycle performance metrics to identify challenges and create actionable solutions.
  • Partner with Market RCM leaders to align business office initiatives.

Benefits

  • Variable compensation plans
  • Tuition, travel, and wireless service discounts
  • Employee Assistance Program for mental health support
  • Financial assistance through Employee Foundation
  • Comprehensive health, dental, vision insurance, and company-paid life insurance
  • 401K and paid time off
  • Free virtual healthcare for employees and their families
  • On-Demand Pay Program for early access to earnings
  • Voluntary insurance options including pet insurance and life disability insurance.
Full Job Description
Responsibilities

Healthcare is evolving.  Patients and their families expect more from healthcare centers and team members - they expect a well-evaluated, personalized quality of service that meets them where they are.  They expect skilled practitioners and experts that push the boundaries of ordinary service to excellence in care.  This is a new era of skilled nursing and long term care - one that empowers and nurtures, leads with compassion, and leaves a lasting impression. 

 

At Genesis, we know that we can only accomplish this if we have passionate healthcare providers and skilled experts in our centers, close to the patients themselves, and connected to their outcomes.  Join our diverse team of passionate healthcare providers working to create vitality for life.

 

● Are you experienced in driving Revenue Cycle Management (RCM) performance at the center level, with a focus on measurable outcomes?

● Can you lead and improve all aspects of the revenue cycle—from pre-admission through discharge—to maximize timely and accurate revenue collection?

● Do you thrive in a collaborative environment, working closely with Market leaders and support teams to achieve positive accounts receivable (AR) outcomes?

● Are you confident in identifying training needs and communicating them effectively to ensure continuous performance improvement across your team?

● Do you consistently demonstrate a strong understanding of your responsibilities and ensure tasks are executed with attention to detail and timeliness?

● Are you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement, and Social Services to maintain accurate and compliant patient account management?

Does this sound like you?  If so, apply to join our team as a Business Office Manager and take the lead in driving financial excellence at the center level! This is more than a back-office role — it’s a key leadership position where your skills in revenue cycle management, people development, and process execution will directly support our mission of delivering exceptional care.

What You’ll Do:As a Business Office Manager, you’ll oversee the full spectrum of revenue cycle management functions — from pre-admission to discharge. Your focus will be on optimizing collections, ensuring compliance, and leading a high-performing business office team that may include Assistant Business Office Managers, Bookkeepers, and Receptionists.You will:● Lead day-to-day revenue operations including census management, billing, collections, adjustments, and Medicaid tracking.

● Collaborate across departments including Admissions, Clinical Reimbursement, and Social Services to ensure accurate and timely patient account management.

● Act as a financial liaison during the resident journey — from conducting financial interviews during admission to assisting with discharge obligations.

● Support compliance with state, federal, and corporate guidelines — including cash handling procedures and segregation of duties.

● Use your expertise in revenue cycle performance metrics (bad debt, cash collections %, AR aging, and DSO) to identify challenges and develop sustainable, action-oriented solutions.

● Partner with Market RCM leaders to align with broader business office initiatives and access tools and support as needed.

Qualifications

● A high school diploma or equivalent is required● A degree or post-secondary education or additional coursework in accounting or finance is preferred.

● At least five years of experience in billing and collections is required - experience in billing and collections in a long-term care setting is preferred.

● A strong understanding of RCM systems, processes, and performance metrics.

● A collaborative mindset with the ability to lead and develop a business office team.

● Confidence and professionalism in working with residents, families, and center leaders.

Benefits

*Variable compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

*Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members

*On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

 

We also offer several voluntary insurances such as:*Pet Insurance*Term and Whole Life Insurance*Short-term Disability*Hospital Indemnity*Personal Accident*Critical Illness*Cancer Coverage

 

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

 

Posted Salary RangeUSD $60,000.00 - USD $70,000.00 /Hr. Bonus

About Genesis Healthcare, Inc

Genesis Healthcare, Inc. is a holding company with subsidiaries that, on a combined basis, comprise one of the nation's largest post-acute care providers with more than 325 skilled nursing centers and senior living communities in 24 states nationwide. Genesis subsidiaries also supply rehabilitation and respiratory therapy to more than 1,700 healthcare providers in 46 states, the District of Columbia and China. Genesis' subsidiaries employ approximately 42,000 people and provide services to approximately 350,000 patients and residents per year.
Learn more about Genesis Healthcare, Inc
Size
3,658 employees
Market Cap
$14.2 billion
Industry
Net Income
-$62.6 million
5 Year Trend
-7%
Revenue
$4.1 billion
NASDAQ

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