Business Office Manager — Skilled Nursing

Job overview

The Business Office Manager role is onsite in Arlington, MA, with a stated salary range of $65,000–$85,000 per year. The position supports a local skilled nursing facility and works with facility leadership, admissions, nursing, and other departments. The manager oversees business office functions that support accurate billing, timely reimbursement, collections, financial reporting, and regulatory compliance. The work helps maintain efficient financial operations while supporting residents and their families.

What you'll do

• Oversee billing for Medicare, Medicaid/MassHealth, managed care, and private-pay residents
• manage month-end close, census reconciliation, and billing reviews
• monitor authorizations, eligibility, coverage, and reimbursement
• resolve billing discrepancies, denials, and payment delays
• monitor receivables and coordinate collections
• support admissions financial screening and counseling
• oversee accounts payable, cash management, reconciliations, compliance documentation, reporting, and business office staff.

What we're looking for

Skills & competencies

business office manager

skilled nursing

healthcare finance

billing

reimbursement

accounts receivable

collections

arlington ma

hirecare services

full-time

$65k–$85k

medicare

medicaid/masshealth

Work arrangement

• Weekend coverage required

Benefits & perks

• Weekly pay
• six paid holidays
• medical, dental, and vision insurance
• short- and long-term disability insurance
• PTO
• 401(k)
• onsite employee education and professional development
• employee referral bonus
• complimentary employee meals.

Why this role

Requires a high school diploma or equivalent and at least two years of healthcare billing, accounts receivable, or business office operations experience. Skilled nursing or long-term care experience is strongly preferred.

About the employer

HireCare Services - Massachusetts is hiring for this role. Industry: Nursing Care Facilities (Skilled Nursing Facilities). Sector: 62.