Job Summary:
The Business Office Assistant supports the daily operations of the Business Office within a Skilled Nursing Facility. This role is responsible for assisting with billing functions, cash collections, accounts receivable follow-up, and administrative financial processes to ensure timely reimbursement and accurate financial records. The position works closely with the Business Office Manager (BOM) to maintain compliance, optimize cash flow, and support overall revenue cycle performance.
Essential Duties and Responsibilities
- Supports and promotes the mission and values of Covenant Health Ministry.
Billing & Accounts Receivable Support
- Assist with preparation and submission of claims for Medicare, Medicaid, Managed Care, and Private Pay residents
- Support timely and accurate billing in accordance with payer guidelines
- Perform routine A/R follow-up on outstanding balances, focusing on aging accounts
- Research and resolve billing discrepancies, denials, and rejected claims
- Maintain accurate documentation of collection efforts in the billing system
Cash Collections & Posting
- Assist with daily cash posting, including checks, EFTs, and electronic remits
- Reconcile payments to billed amounts and identify variances
- Support collection efforts including phone calls, statements, and follow-up correspondence with residents and responsible parties
- Monitor private pay accounts and assist with collection of outstanding balances
Administrative & Financial Support
- Prepare and send resident statements and collection letters
- Maintain organized financial records, files, and supporting documentation
- Support refund processing and credit balance review under direction of the BOM
- Assist with month-end close processes and reporting requirements
Customer Service & Communication
- Communicate professionally with residents, families, and responsible parties regarding billing and account inquiries
- Provide clear explanation of charges, insurance coverage, and payment expectations
- Collaborate with Admissions, Social Services, and Clinical teams to ensure accurate financial information
- Any other essential duties and responsibilities will be added between “Supports the mission” and “Other duties”
- Other duties as consistent with this role.
Job Requirements
Job Knowledge and Skills
- Must be able to speak clearly, read, write, and comprehend the English language.
- Strong attention to detail, organization, and time management skills
- Ability to prioritize tasks and meet deadlines in a fast-paced environment
- Financial accuracy and accountability
- Strong follow-up and collections mindset
- Effective communication and customer service
- Problem-solving and critical thinking
- Ability to maintain confidentiality and compliance
Education and Experience
- High School Diploma or equivalent required; Associate’s degree preferred
- 1–3 years of experience in healthcare billing, SNF business office, or accounts receivable preferred
- Knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes is highly desirable
- Experience with PointClickCare (PCC) or similar billing systems preferred
- Proficient in Microsoft Office (Excel, Word, Outlook)
Covenant Health Mission Statement
We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.
Our Core Values:
•Compassion
We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.
•Integrity
We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.
•Collaboration
We work in partnership, dialogue and shared purpose to create healthy communities.
•Excellence
We deliver all services with the highest level of quality, while seeking creative innovation.
Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).
Comp Range:
$20.52 - $28.26Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.
Skills Required
- High school diploma or equivalent
- Ability to speak clearly, read, write, and comprehend English
- Strong attention to detail, organization, and time management
- Ability to prioritize tasks and meet deadlines in a fast-paced environment
- Financial accuracy and accountability
- Strong follow-up and collections mindset
- Effective communication and customer service skills
- Problem-solving and critical-thinking skills
- Ability to maintain confidentiality and compliance
- Associate's degree
- 1-3 years of experience in healthcare billing, skilled nursing facility business office operations, or accounts receivable
- Knowledge of Medicare, Medicaid, managed care, and private-pay billing processes
- Experience with PointClickCare or similar billing systems
- Proficiency in Microsoft Office, including Excel, Word, and Outlook
What We Do
Covenant Health is a Catholic regional health delivery network serving communities across New England and part of Pennsylvania. As a not-for-profit health system, it operates hospitals, skilled nursing and rehabilitation centers, assisted living communities, home health and hospice agencies, and other health services. Its mission is to provide person-centered, compassionate, high-quality care while advancing access, innovation, healing, and respect for every individual.
