Legacy Health Services is a resident‑centered skilled nursing and long-term care management company committed to operational excellence and compassionate care. We are seeking an experienced and detail‑oriented Business Office Manager (BOM) to oversee financial operations, billing functions, and office management responsibilities.
The Business Office Manager is responsible for managing all business office functions, including billing, accounts receivable, resident trust accounts, payroll support, and financial recordkeeping. The ideal candidate has experience in long-term care billing systems, Medicaid/Medicare processes, and excels in accuracy, communication, and customer service.
Key Responsibilities- Oversee daily operations of the business office
- Manage accounts receivable and billing for Medicare, Medicaid, private pay, and insurance
- Complete and process resident admission paperwork, financial forms, and payment agreements
- Maintain and reconcile resident trust accounts in compliance with regulations
- Review and verify census information, charges, and reimbursement accuracy
- Assist with Medicaid applications, redeterminations, and eligibility follow-up
- Process vendor invoices and support accounts payable as needed
- Assist with payroll processing and staff HR paperwork (depending on facility structure)
- Prepare month-end reports and support audits
- Provide excellent customer service to residents, families, and external partners
- Ensure confidentiality and compliance with all state and federal regulations
- Experience as a Business Office Manager, Bookkeeper, or billing specialist in long-term care strongly preferred
- Knowledge of Medicaid/Medicare, managed care, and long-term care billing systems
- Proficiency with accounting software and Microsoft Office (Excel required)
- Strong attention to detail, organization, and problem-solving skills
- Excellent communication and customer-service skills
- Ability to handle sensitive financial information with confidentiality
- High school diploma required; associate degree in accounting or business preferred
- Competitive compensation based on experience
- Medical, dental, and vision insurance options
- Paid time off and paid holidays
- Retirement plan options
- Supportive leadership team and collaborative work culture
- Opportunities for career growth within the organization
We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or non-job related handicap or disability.
Skills Required
- High school diploma
- Experience with Medicare, Medicaid, managed care, and long-term care billing systems
- Proficiency with accounting software
- Proficiency with Microsoft Office and Excel
- Strong attention to detail, organization, and problem-solving skills
- Excellent communication and customer-service skills
- Ability to handle sensitive financial information confidentially
- Experience as a Business Office Manager, bookkeeper, or billing specialist in long-term care
- Associate degree in accounting or business
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.
