Minimum 5 years of skilled nursing facility business office experience required
Strong knowledge of New York State Medicaid eligibility and processes
Familiarity with resident trust fund requirements and skilled nursing financial operations
Proficiency in PointClickCare (PCC) or similar systems and Microsoft Excel
Strong leadership, training, communication, and organizational skills
Ability to analyze financial information and implement corrective actions
Willingness to travel between assigned facilities as needed
Responsibilities
Oversee business office operations across 4-5 skilled nursing facilities
Monitor accounts receivable and resolve outstanding balances
Support month-end closing activities and account adjustments
Conduct facility audits for compliance with policies and financial standards
Train and mentor Business Office Managers, including onboarding
Develop training materials and process improvements
Collaborate with regional leadership to address operational concerns
Benefits
Paid Time Off (PTO) for Full-Time and Part-Time
Weekly or Same-Day Pay Options
Health, Dental, and Vision Insurance
Life Insurance
Employee Referral Bonus Program
Retirement Saving Options
Full Job Description
Regional Business Office Director Salary: $83,200 - $91,520 (depending on experience) Hourly Equivalent: $40 - $44/hour (depending on experience) Shift: Full-Time (40 hrs/week) Schedule: Monday- Friday, Days
Taconic Nursing and Rehabilitation is seeking an experienced Regional Business Office Director to oversee four to five facilities. Reporting to the Chief Financial Officer, you'll provide leadership, support financial performance, ensure compliance with company procedures, and mentor facility business office teams to promote operational efficiency and financial accountability.
RESPONSIBILITIES:
Oversee business office operations across 4-5 skilled nursing facilities
Monitor accounts receivable, private pay collections, and Medicaid Pending accounts to identify and resolve outstanding balances
Support month-end closing activities, bad debt analysis, resident refunds, and account adjustments
Review accounts for attorney referrals and write-offs as appropriate
Ensure resident trust accounts are reconciled and maintained accurately
Conduct facility audits to ensure compliance with company policies, procedures, and financial standards
Train, mentor, and support Business Office Managers, including onboarding and staff development
Develop and maintain training materials, standard operating procedures, and process improvements
Supervise the Medicaid Coordinator and coordinate support based on facility needs
Collaborate with Administrators, regional leadership, and corporate finance to address operational concerns
Provide onsite support during Business Office Manager vacancies and travel between assigned facilities as needed
REQUIREMENTS:
Minimum 5 years of skilled nursing facility business office experience required
Strong knowledge of New York State Medicaid eligibility, applications, and pending processes
Knowledge of resident trust fund requirements, refunds, and skilled nursing financial operations
Proficiency in PointClickCare (PCC) or similar systems and Microsoft Excel
Strong leadership, training, communication, and organizational skills
Ability to analyze financial information, identify concerns, and implement corrective actions
Ability to manage multiple facilities, prioritize responsibilities, and maintain accountability
Willingness and ability to travel between assigned facilities as needed
