Job Title

Business Office Manager - Large Senior Living Community We are seeking a Business Office Manager to join our team at our large premier senior living community in Grand Junction, CO.  Come join a team of dedicated, smart, and caring professionals as they work together to care for our seniors and provide them the lifestyle they deserve. As the Business Office Manager, you will be responsible for overseeing and managing all financial aspects of the facility's operations, including billing and collections and accounts payable. What we offer Competitive salary $50,000 ~ $65,000 DOE Benefits include medical, dental, vision, generous Paid Time Off program, holidays, and more!!! A growing company with opportunities for advancement Company sponsored training, tuition reimbursement, and other learning opportunities Key Responsibilities Pre-Admission & Admission Support Verify insurance in CRM. Review Common Working File (CWF) for Medicare/Managed Care residents. Confirm prior Medicare days, qualifying hospital stays, and secondary/copay coverage. Complete admission paperwork and verify payer authorizations. Issue financial letters at admission or upon payer changes. Conduct asset searches to support Medicaid applications. Census & System Maintenance Maintain accurate daily census records. Set up and update payer tree assignments. Reconcile midnight census daily. Perform weekly PCC dashboard cleanup for accuracy. Billing & Collections Generate and send monthly private pay statements. Collect private pay, patient liability, and copay balances. Manage cash collections and postings for private pay, Medicaid, and Hospice. Process refunds per state regulations. Bill Medicaid for room/board and secondary Part A and B coverage. Create and submit claims in PCC, upload to clearinghouse, and resolve rejections with AR team. Make Medicaid adjustments as necessary. Participate in AR calls to resolve outstanding balances. Medicaid & Government Program Compliance Verify ULTCs are completed and logged. Submit 5615s for admissions/discharges. Support Medicaid redetermination and recertification processes (RRR). Contract & Hospice Coordination Manage and update hospice contracts. Coordinate hospice billing. Medicare/PDPM Management Attend PDPM meetings to verify Medicare days used and copay start dates. Review and verify documentation, coverage, and authorizations. Maintain concurrent authorizations and assist with discharge planning. Month-End Close (MEC) & Triple Check Participate in Month-End Close processes to ensure accurate/timely Medicare billing setup. Complete month-end checklist and reports. Perform Triple Check with clinical, MDS, therapy, and billing teams to ensure claim accuracy. Accounts Payable (AP) Process invoices and vendor payments per company approval policies. Match invoices with purchase orders and packing slips. Review and correct GL coding to meet compliance standards. Reconcile AP accounts monthly with corporate accounting. Monitor vendor contracts for compliance and renewal. Resident Fund Management (RFMS) Open, maintain, and reconcile resident trust accounts. Process deposits and withdrawals in compliance with regulations. Provide monthly trust statements and safeguard petty cash usage. Prepare annual trust accounting reports as required by the state. Ensure resident fund balances remain within Medicaid eligibility thresholds. Close accounts promptly upon discharge or death and issue refunds as needed. Qualifications Preferred Associates or Bachelor's degree in accounting, finance, or a related field Minimum of 2-3 years of experience in healthcare finance, preferably in a skilled nursing facility Strong knowledge of healthcare billing and reimbursement processes Experience with electronic medical records and billing systems Excellent communication and interpersonal skills Strong analytical and problem-solving skills Ability to work independently and as part of a team Proficiency in Microsoft Office Suite and accounting software Who we are "Our supreme goal is to do and be the best in all we undertake, and to provide a Stellar life for our residents, their families and our employees." - Evrett Benton, CEO If you are looking for a company and team that understands the value of people, then look no further! Stellar Senior Living is a premier assisted living and memory care provider in the Western United States.  Founded in 2012 we have experienced consistent growth adding senior living communities to our family each year. We continue to grow and are looking for top talent to join our team and continue the journey with us.  Mantey Heights Rehabilitation and Care Center is one of Stellar Senior Living's most vibrant senior living communities. Serving residents in a very active community full of fun, family, and opportunities to serve. We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. As part of Stellar Senior Living’s continued efforts to maintain a safe environment for all employees, residents, families, and visitors, Stellar strongly encourages its employees to receive an FDA-approved COVID-19 vaccination, as well as any subsequent booster doses, as recommended by the Centers for Disease Control and Prevention (CDC).  To facilitate and further encourage COVID-19 vaccinations, Stellar periodically organizes onsite vaccination clinics at its various locations.  Stellar employees are not required to be fully vaccinated for COVID-19 as a condition of employment.  The Colorado Job Application Fairness Act (JAFA) prohibits employers from asking prospective employees to disclose any age-related information.  Therefore, Colorado applicants are not required to disclose their age, date of birth, dates of schooling or graduation, or other age-related information.  Furthermore, Colorado applicants may wish to redact age-related information from their application materials, such as resumes or schooling transcripts.