Job Title: Business Office Manager – Long-Term Care
Location: Cleveland
Job Type: Full-Time | Competitive Pay & Benefits
About the Role:
We’re seeking a detail-oriented and compassionate Business Office Manager to lead our business office operations in a long-term care setting. If you’re experienced in healthcare billing, trust fund management, and team leadership, we’d love to meet you!
Key Responsibilities:
- Oversee daily business office functions
- Responsible for timely Private Pay collections and statements
- Manage billing for Medicare, Medicaid & Managed Care
- Maintain resident trust accounts using RFMS
- Ensure accurate census updates daily and verification of Insurance Benefits
- Supervise and support office staff
- Collaborate with clinical and administrative teams
- Organizes, evaluates and monitors business office operations to ensure these functions are performed effectively and efficiently, including management of office staff.
Qualifications:
- 3–5 years of experience in a long-term care business office (preferred)
- Strong knowledge of Medicare/Medicaid billing and collections
- Proficiency in Microsoft Office, PointClickCare, and Resident Trust Accounts
- Familiarity with Ohio Medicaid Portal (PNM), myCGS, Insurance Portals, Level of Care requests and LTC Authorizations (a plus)
- Excellent leadership and communication skills
- Must be able to positively interact with residents, family members, team members, visitors and government agencies as required
Why Join Us?
- Purpose-driven work that supports resident care
- Supportive, team-oriented culture
- Opportunities for professional growth
- Competitive compensation and benefits
- Apply today and make a meaningful impact!
We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, national orientation, age, sexual orientation, marital or veteran status, or non-job related handicap or disability.
Skills Required
- 3-5 years of experience in a long-term care business office
- Strong knowledge of Medicare and Medicaid billing and collections
- Proficiency in Microsoft Office
- Proficiency in PointClickCare
- Experience with resident trust accounts
- Familiarity with Ohio Medicaid Portal (PNM)
- Familiarity with myCGS
- Familiarity with insurance portals
- Familiarity with Level of Care requests and long-term care authorizations
- Excellent leadership and communication skills
- Ability to positively interact with residents, family members, team members, visitors, and government agencies
What We Do
Legacy Health Services is a family-owned Ohio healthcare management company that supports skilled nursing and assisted-living facilities for older adults and patients needing recovery or specialized clinical support. Its continuum of post-acute care includes rehabilitation, long-term and extended care, memory care, behavioral health, ventilator care, respite stays, advanced-practice nursing, podiatric services, and hospice. The company provides administrative, clinical, and operational guidance across Northern Ohio.

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