Business Office Manager Position Available In Northampton, Pennsylvania

Overview

• ABOUT GENESIS

• As the nation’s leading provider of healthcare services from short-term to long-term and a wide variety of living options and professional clinical services, Genesis focuses on the vitality of the person.

How and where we can make a difference in the overall well-being and healthy outlook of everyone we serve is our daily mission. At critical life moments, you need someone you can trust and people you can count on to take the time to really get to know you and understand your unique needs. Whether healing from a serious illness or making a life transition, we help our patients regain their vitality for a healthier return home. _______________________________________________________________ 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.

• THE ROLE

• The
• Business Office Manager (BOM)
• serves as the center’s lead financial operations professional and subject matter expert in
• revenue cycle management (RCM)

•. This role holds full responsibility for overseeing and executing all business office functions, including census integrity, billing and collections, Medicaid tracking, resident account oversight, and financial compliance. The BOM ensures that revenue cycle processes—from pre-admission through discharge—are performed accurately, efficiently, and in alignment with organizational policies and regulatory standards. Reporting directly to the Nursing Home Administrator (NHA) and receiving dotted-line support from the Business Office Advisor and Market Revenue Cycle Advisor, the BOM operates as a key financial leader within the center. In this dual-reporting structure, the BOM collaborates closely with center leadership, interdisciplinary teams, and market-level RCM professionals to drive financial performance, resolve payer issues across all sources, and ensure alignment with broader regional revenue and operational goals. This role plays a pivotal role in the following: + enhancing Revenue Cycle Management performance at the center level + improvement of the quality of all revenue cycle management functions in the center, from pre-admission to discharge, to optimize revenue collection. + collaboration with Market leaders and support teams to ensure that the center is working towards positive AR outcomes. + effective communication of center training needs + demonstrating understanding of assigned tasks and expectations + working closely with Admissions, Clinical Reimbursement, Social Services, and other center departments to ensure accurate patient account management. Responsibilities

• Responsibilities/Accountabilities:

• Revenue Cycle Management & Financial Operations
• + Owns the end-to-end center revenue cycle process, including census accuracy, billing, accounts receivable management, cash posting, adjustments, and collections across all payer sources (Medicare, Medicaid, Managed Care, Private Pay).

+ Conducts and oversees 72-hour admission meetings to review financial obligations, initiate Medicaid applications, and collect documentation. + Ensures timely completion of key functions such as month-end trial billing, eligibility sweeps, census tie-out, HIPPS/service level updates, and private billing follow-up. + Monitors and reports on key financial metrics (AR aging >60 days, bad debt reserve, bad debt expense, cash collection %, and DSO). + Ensures execution of timely Medicaid application processing and tracks Medicaid pending status and private spend-down activity.

• Leadership & Staff Oversight
• + Directly supervises business office staff including Assistant Business Office Manager (ABOM), Bookkeeper, Receptionists, and Cash Handlers, where applicable. + Leads training, onboarding, and performance management of business office team members. + Ensures team adherence to policies and procedures, including segregation of duties for cash handling and posting.
• Collaboration & Compliance
• + Acts as the center’s subject matter expert (SME) on Revenue Cycle Management.

+ Collaborates with Admissions, Social Services, Clinical Reimbursement, and Therapy to ensure complete, accurate, and up-to-date resident financial records. + Serves as liaison between the center team and Market/Central Business Office (CBO) support teams, such as Business Office Advisors, Medicaid Eligibility Advisors, and others. + Ensures compliance with Accounts Receivable policies, RCM processes, and HIPAA/confidentiality standards. + Adheres to Red Flag rules and supports identity theft prevention.

• Systems, Reporting & Oversight
• + Manages RFMS (Resident Fund Management System) accounts, reconciliations, and resident trust transactions.

+ Maintains timely and accurate documentation in systems including PCC, RFMS, and other center-specific financial tools. + Reviews and acts upon system-generated reports and alerts including UB04 summaries, provider tax reports, Medicaid pending reports, and eligibility dashboards. + Completes and submits required financial and operational documentation including billing logs, census logs, and rate change forms.

• Additional Areas of Impact
• + •

Cross-Functional Operational Alignment:

• Partner closely with center leadership—including the Administrator, Director of Nursing, and interdisciplinary teams—to ensure revenue cycle functions align with the center’s clinical operations and programming. Facilitate communication across departments to support financial accuracy, timely documentation, and efficient workflow integration. +

• Payer and Partner Coordination:

• Build and maintain strong working relationships with Managed Care partners, Medicaid agencies, and other payer stakeholders. Act as a liaison to ensure financial requirements are clearly communicated and aligned with center capabilities, contributing to timely reimbursements and reducing administrative denials. +

• Authorization Oversight and Strategic Payor Execution:

• Serve as the subject matter expert for managed care authorization processes within the center. Collaborate with authorization specialists and clinical teams to ensure accurate rate capture, optimize payer-specific workflows, and align financial strategies with admission practices to support both census growth and reimbursement accuracy. +

• Performance-Driven Financial Management:

• Use internal data sources and reporting tools (e.g., AR dashboards, aging reports, PCC financial alerts) to monitor performance trends, identify at-risk accounts, and drive targeted action plans. Leverage analytics to inform decision-making, track business office KPIs, and ensure accountability for results. Qualifications
• Qualifications
• + High school diploma or GED required; coursework in accounting, business administration, or finance strongly preferred.

+ Minimum of 5 years of experience in long-term care billing and collections. + Deep understanding of payer sources, Medicaid processes, and RCM performance metrics. + Strong organizational, leadership, and communication skills. + Experience with PCC, RFMS, and other revenue cycle platforms a plus. + Ability to build and maintain relationships with key stakeholders, including executives, referral sources, and community partners. + Excellent leadership skills with the ability to mentor and develop teams, foster collaboration, and drive results. + Strong analytical skills, with the ability to leverage data to inform decision-making and optimize strategies. + Expertise in utilizing business performance management systems such as CRM and sales tracking tools to monitor progress and results. + Excellent communication, negotiation, and interpersonal skills, with the ability to engage with internal teams and external partners at all levels. + Ability to manage multiple centers and priorities effectively, ensuring that business development goals are met. + In-depth knowledge of federal, state, and local regulations related to healthcare partnerships. + A commitment to delivering high-quality care and fostering positive relationships with patients, families, and communities Benefits

• Benefits & Perks:

• In addition to the chance to work with a world-class team and cutting-edge technology to help provide world-class skilled nursing and patient care, Genesis employees also enjoy competitive benefits.

We offer PTO, parental leave, competitive compensation plans, and more. Genesis invests in employee development and the company culture is shaped by shared values. For our leaders, we intentionally develop them in the areas that matter most through an intentional and purposeful leadership learning pathway including group cohort learnings, 1:1 coaching, and self-guided activations. Posted Salary Range USD $27.00 – USD $32.00 /Hr.

Genesis HealthCare, Inc. and all affiliated entities (collectively “Genesis”) has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all employees and applicants for employment without regard to actual or perceived race, color, religion, gender, gender expression, gender identity, sex, sexual orientation, HIV status, national origin, age, disability, marital status, pregnancy, ancestry, citizenship, genetic information, amnesty, military status or status as protected veterans, or any other legally protected characteristic. Genesis is an Affirmative Action and Equal Opportunity Employer and our goal is to foster an inclusive and accessible workplace free from discrimination and harassment where everyone has equal opportunities to succeed.