Business Office Manager – San Diego

McColl-logo 260-109

Location: San Diego

St. Paul’s is the leading provider of caring senior services since 1960.  St. Paul’s strives to be the most outstanding and innovative senior home and service provider in California. We are dedicated to serving the physical, spiritual and social needs of the elderly and community, fostering a culture of diversity and inclusion within the highest quality facilities, health care and programs consistent with affordable costs.


The Business Office Manger will direct the accounting functions of the facility in accordance with current acceptable accounting and cost reimbursement principles relating to the long-term care industry.

Perform billing, collection, accounting and clerical functions associated with various facilities including, but not limited to the McColl Health Center (Skilled Nursing Facility) under the direction and supervision of the Facility Administrator (direct report) with secondary accountability to the Corporate Accounting Manager. Serve as a member of the leadership team for the facility and one of the primary liaisons with the referring community (hospitals, managed care organizations, MediCal, Medicare, physicians and other related organizations.


Education:   Bachelors Degree in Business Administration with a major in accounting and 3 years experience in hospital financial administration, or any combination of experience, education, or training which would provide the knowledge required by this position.

Experience:   Three years of experience in a long term care or billing setting.

Skills and Knowledge:

    • Must be knowledgeable of accounting principles, laws, regulations, and guidelines pertaining to long term care administration
    • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies, referring and paying agencies and the general public.
    • Ability to work with staff to successfully implement new billing & cash receipts policies and procedures.
    • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, polices, and procedures that are necessary for providing sound accounting techniques
    • Proficiency in the use of Microsoft Office and billing/cash receipts software applications.
    • Ability to articulate clearly and accurately both orally and in written form.
    • Awareness of and adherence to confidentiality requirements for resident/client information.


  • Plan, develop, organize, implement, evaluate, and direct the facility’s accounting function under the supervision of the Administrator
  • Review the facility’s accounting policies and procedures periodically, at least annually, and make recommendations to the Administrator
  • Interpret the facility’s accounting policies and procedures to employees, residents, family members, government agencies, etc,
  • Assist department directors in the development and use of accounting policies and procedures and establish a rapport in and between departments so that each can realize the importance of accurate reporting procedures.
  • Supervise and train personnel involved in accounting, as required
  • Monitor internal controls to assure compliance with established procedures
  • Represent the facility at and participate in top level meetings as required
  • Serve as liaison to the administrator, medical staff, and other professional supervisory staff
  • Be the primary accounting/finance contact in the facility and assure that the accounting system and controls prescribed by the Corporate Accounting/Finance function are reflected in the operation of the facility
  • Maintain a system of financial recordkeeping to include ledgers, recording payments, written receipts, preparing accounting journals, and other systems as prescribed by the Corporate Accounting/Finance function.
  • Review invoices and prepare, with the Administrator, items to submit to Accounts Payable for payment.
  • Be the primary billing expert for the broader organization. Understand and maintain the billing system to appropriately interface with the general ledger in partnership with the Accounting Manager. This will include the preparation of (electronic) journal entries, and the timely billing collection and tracking of accounts receivable. Manager will also be responsible for the coding of invoices, accounts analysis and reconciliation, closing (Billing and Accounts Receivable) books, setting up new accounts, etc
  • Monitor and collect accounts receivables. Pursue collections and report delinquent accounts to the administrator
  • Assist in preparation of monthly financial statements to include coding of facility specific invoices and allocating ancillary service costs for appropriate account billing, G/L assignment and payment
  • Review and interpret monthly financial statements and provide such information to the administrator or Finance department as required
  • Review entries to the general ledger to assure accuracy and compliance with established accounting procedures
  • Prepare financial and statistical reports as required
  • Develop and utilize computer reports and output as required
  • Ensure that resident admission contracts are signed and appropriately filed
  • Review and develop a plan of correction for accounting deficiencies noted during survey inspections and provide a written copy of such plans to the Administrator
  • Review complaints and grievances and make written reports of action taken
  • Make written and oral reports/recommendations to the administrator concerning accounting functions
  • Keep abreast of economic conditions/situations and make adjustments as necessary to assure the continued ability to provide quality care
  • Assist in the planning and implementation of changes in the accounting system
  • Assume the administrative authority, responsibility, and accountability of directing the accounting functions and programs of the facility
  • Serve on the Budget Committee of the facility
  • Assist in preparing the annual operating budget, cost reports, tax returns, capital expenditures

IMPORTANT NOTES: If you prefer to fax your application and resume you may fax it to 619.239.1256. We also accept applications in person at 328 Maple Street, San Diego, CA 92103. Come to the 2nd floor and let the receptionist know you would like to complete an application.

To learn more about St. Paul’s Senior Services, please visit


St. Paul’s Senior Services is an Equal Opportunity Employer