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Assisted Living Business Office Manager

Brookstone Retirement Center
Lexington, NC Full Time
POSTED ON 10/13/2026
AVAILABLE BEFORE 2/9/2027

Business Office Manager – Assisted Living
North Carolina · Full-time

Our assisted living community is looking for a Business Office Manager to run the financial side of the building. You’ll handle resident billing, collections, Medicaid and Special Assistance, and payables, working closely with our accounting team. You’ll also be the person families come to with questions about their bill. If you’re exact with numbers and good with people, we’d like to talk to you.

What you’ll do

  • Send accurate monthly resident statements and post payments
  • Stay on top of past-due accounts and work with families on payment plans
  • Bill Medicaid PCS and other third-party payers, and follow up on denied claims
  • Help residents and families apply for Special Assistance and Medicaid, and track recertifications
  • Keep the daily census accurate and reconcile it to billing
  • Code and submit vendor invoices for payment
  • Manage resident personal fund accounts
  • Work with the accounting team on month-end close, reconciliations, and reporting
  • Handle the financial paperwork at move-in
  • Keep records ready for state surveys and audits

What we’re looking for

  • 2 years of business office, billing, or bookkeeping experience, preferably in assisted living, skilled nursing, or other healthcare
  • Solid understanding of accounts receivable and accounts payable
  • Comfortable with Excel and quick to learn new software
  • Organized, dependable, and able to meet deadlines without being chased
  • Works well with an off-site accounting team and communicates clearly
  • Patient and respectful with seniors and their families
  • Able to pass a background check and drug screen

Nice to have

  • Experience with NC Medicaid PCS billing, Special Assistance, or NCTracks
  • Experience with resident trust funds
  • Notary public

What we offer

  • Competitive pay based on experience
  • Monday–Friday schedule
  • A stable, close-knit team where your work matters every day

To apply: Submit your resume through this posting.

We are an equal opportunity employer.

Pay: $40,000.00 - $55,000.00 per year

Benefits:

  • Health insurance
  • Paid time off

Work Location: In person

Salary : $40,000 - $55,000

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