Billing and Collections Manager  

Business Office Manager / Billing & Collections Manager

City View Post Acute | San Francisco, CA

Lead the Business Office. Make an Impact.

City View Post Acute is seeking an experienced and detail-oriented Business Office Manager / Billing & Collections Manager to join our leadership team. This is a full-time position responsible for overseeing business office operations, billing, collections, authorizations, resident financial services, and other key financial processes within our skilled nursing facility.

The ideal candidate will have strong Skilled Nursing Facility (SNF) experience and a solid understanding of Medi-Cal/Medicaid, managed care, SNF billing, authorizations, collections, and resident trust accounts.

Position Details

• Salary: $90,000–$100,000+ per year, DOE
• Full-Time
• Comprehensive benefits package
• SNF experience required
• Leadership role within a skilled nursing facility

What You’ll Do

As the Business Office Manager / Billing & Collections Manager, you will oversee daily business office operations while ensuring billing, collections, authorizations, and financial processes are completed accurately and on time.

Key responsibilities include:

• Oversee day-to-day business office operations and ensure established procedures are followed.
• Manage and maintain managed care and Medi-Cal/Medicaid authorizations, including bed-hold authorizations.
• Assist with the management of the resident trust fund, including preparing, printing, and distributing monthly statements.
• Supervise, train, schedule, and support business office staff.
• Provide performance guidance and take appropriate disciplinary action when necessary.
• Maintain accurate facility census information and communicate resident status changes.
• Assist residents and families with Medi-Cal/Medicaid applications and follow up as needed.
• Track Medi-Cal/Medicaid redeterminations and ensure required documentation is completed timely.
• Prepare TARs as needed.
• Support billing and payment processes, including preparing and processing bank deposits.
• Monitor outstanding accounts and conduct collection activities related to bad debt.
• Ensure accurate and timely billing to residents, insurance providers, managed care organizations, and government payers.
• Follow up on outstanding balances, denials, rejected claims, and unpaid accounts.
• Maintain accurate financial, billing, census, and business office records.
• Ensure business office staff are appropriately scheduled and assigned to meet facility needs.
• Monitor work completion and ensure business office responsibilities are handled accurately and timely.
• Participate in stand-up meetings and other facility meetings as requested by the Administrator.
• Maintain confidentiality and comply with HIPAA, applicable regulations, and facility policies.
• Perform other duties as assigned by the Administrator.

What We’re Looking For

Qualifications:

• Previous Skilled Nursing Facility (SNF) experience is required.
• Previous experience as a Business Office Manager, Billing Manager, Collections Manager, or similar healthcare business office leadership role strongly preferred.
• Strong knowledge of Medi-Cal/Medicaid, managed care, SNF billing, authorizations, collections, and resident trust accounts.
• Previous experience supervising and managing business office staff.
• Strong organizational and time-management skills.
• Excellent attention to detail and follow-through.
• Strong communication and interpersonal skills.
• Ability to handle confidential resident and financial information with professionalism.
• Proficiency with computers and business office software.
• Ability to work independently while working collaboratively with facility leadership and interdisciplinary teams.
• Strong problem-solving and follow-up skills.

What We Offer

• $90,000–$100,000+ annual salary, DOE
• Full-time schedule
• Comprehensive benefits package
• Leadership opportunity within a skilled nursing facility
• Supportive work environment
• Opportunity to make a meaningful impact on facility operations and resident services

Ready to Take the Next Step?

If you have strong SNF business office, billing, and collections experience and are ready to take on a leadership role, we would love to hear from you.

Apply today to join the City View Post Acute team!

Job Type: Full-Time
Salary: $90,000–$100,000+ per year, DOE
Location: San Francisco, CA

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.