Business Office Manager
Location: Elderwood at North Creek – North Creek, NY
Job Type: Full-Time
Pay Range: $22.40 – $33.60 / hour (based on experience and qualifications)
At Elderwood at North Creek, we take pride in providing high-quality, personalized care to our residents in a warm and supportive environment. As a Business Office Manager , you’ll play a vital role in maintaining financial accuracy, providing resident support, and guiding the administrative team.
A collaborative, supportive, and welcoming on-site team
Leadership that values your experience and encourages your growth
A workplace culture built on compassion, dignity, and respect
Full suite of health benefits – Medical, Dental, Vision
Paid Time Off (PTO) & Holiday Package
Tuition Assistance Program – invest in your future while you work
Gas Allowance Stipend Program
Employee Referral Bonus Program
Career development and advancement opportunities
As the Business Office Manager , you’ll lead and manage the financial and administrative operations of the facility, including billing and collections, Medicaid coordination, insurance reimbursement, resident trust accounts, and business office staff supervision. You’ll also work closely with residents and families to ensure financial transparency and support.
Make a meaningful impact every day. Apply today and become part of a team that values professionalism, compassion, and a commitment to resident care at Elderwood at North Creek.
Responsibilities:Billing & Financial Operations:
Manage billing and collections for private pay, Medicaid, Medicare, and third-party insurance
Perform bank reconciliations, monitor petty cash and dietary deposits, and reconcile resident trust accounts
Complete month-end close, prepare financial reports, and support year-end audits
Submit claims and follow through the AR and reimbursement cycle to ensure accurate and timely payments
Resident Financial Support:
Assist residents and families with understanding billing and payment processes
Guide families through Medicaid applications and eligibility requirements; communicate with county caseworkers
Provide coverage updates, respond to financial inquiries, and prepare account rebates upon discharge
Process admissions, discharges, and maintain up-to-date financial and system records
Administrative & Team Leadership:
Supervise Business Office Clerk and/or Receptionist staff (if applicable)
Ensure accurate entry of census data, account changes, and ancillary charges
Oversee aging reports, collection efforts, and cash posting processes
Provide guidance to other Business Office Coordinators under the direction of the Sr. Director of Revenue Cycle Management
High school diploma or equivalent
Minimum 5 years of experience in a business office setting (ideally in a SNF, assisted living, physician group, or other healthcare environment)
Previous supervisory experience required
Working knowledge of Medicaid programs , including at least 1 year of experience in the Medicaid application process and eligibility requirements
Familiarity with office machines, computer systems, and financial software
Ability to read, write, speak, and understand English at an intermediate or advanced level to effectively communicate with residents, coworkers, visitors, and supervisors
Ability to provide support and guidance to other Business Office Coordinators as needed, under the direction of the Sr. Director of Revenue Cycle Management
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