Nestled in San Francisco's Excelsior neighborhood on a nine-acre campus, the San Francisco Campus for Jewish Living (SFCJL) is the leading senior services organization in Northern California. Our continuum of care includes: the Frank Residences assisted living and memory care; the Jewish Home and Rehabilitation Center, offering long-term skilled nursing, short-term rehabilitation, an acute geriatric psychiatric unit for adults over the age of 65; and our Foundation.
Founded in 1871 and formerly known as the Jewish Home, our legacy grounds us as our vision propels us forward. Today, we've evolved to support more than 2,500 older adults each year through innovative, comprehensive programs rooted in the Jewish values of compassion, community, and excellence. We are equally proud of our inclusive culture, where 950 team members of diverse faiths and backgrounds work together in shared purpose.
WHY WORK WITH US
Mission-driven nonprofit organization
Competitive compensation and comprehensive benefits
Meaningful work that positively impacts the lives of older adults every day
Inclusive community, welcoming to all (you do not need to be Jewish to live or work here)
Supportive, team-oriented environment
Opportunities for professional growth and development
Collaborative leadership focused on enhancing the employee experience
POSITION SUMMARY
As the Business Office Director, you will oversee day-to-day billing, collections, cash posting, and resident account operations for the San Francisco Campus for Jewish Living (SFCJL). You will lead Patient Financial Services (PFS) staff and ensure claims are submitted accurately and timely, payments are posted correctly, and accounts receivable are actively managed to resolution across all payer types. This role serves as a key financial resource for residents and families and works closely with Admissions, Case Management, MDS, Accounting, and other departments to ensure complete and accurate billing information, strong revenue cycle performance, and compliance with applicable reimbursement requirements.
KEY RESPONSIBILITIES
Billing & Claims
• Oversee the timely and accurate generation and submission of claims (UB-04/837I) to Medicare, Medi-Cal, and managed care payers, including crossover claims for dual-eligible residents.
• Maintain a clean claim rate above 95% and ensure claims are submitted within five (5) days of the billing cycle.
• Participate in the monthly Triple Check process with Nursing, MDS, and Case Management to confirm charges and supporting documentation are accurate before claims are released.
• Ensure payer-specific billing requirements are followed and work with responsible departments to resolve missing, incomplete, or inconsistent billing information.
Cash Posting & Reconciliation
• Oversee the posting of Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) payments in PointClickCare (PCC) and ensure payments are applied to the appropriate accounts.
• Identify underpayments, overpayments, and rejected payments and escalate significant payer issues to the Chief Financial Officer.
• Collaborate with Accounting to reconcile cash receipts to bank activity and the general ledger each month.
Denials & Appeals
• Review remittance advice for denied, rejected, or delayed payments and ensure technical rejections are corrected and resubmitted.
• File and track payer appeals, including Medicare redeterminations and Medi-Cal Treatment Authorization Request (TAR) denials.
• Monitor and report denials by root cause and identify recurring issues requiring staff education, workflow changes, or process improvements.
• Work toward maintaining a denial rate below 5%.
Accounts Receivable & Collections
• Review accounts receivable aging reports weekly and prioritize collection activity by payer and aging category.
• Ensure appropriate payer follow-up occurs on all outstanding claims older than 30 days.
• Maintain clear biller assignments by payer and regularly review individual…