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POSITION OVERVIEW
Title: Business Office Manager
Company: Xencare Inc. (DBA Fresno Guest Homes)
Work Location: Fresno Guest Homes Facilities
Reports to: Vice President – Care Operations
Location: Fresno, CA
ABOUT FRESNO GUEST HOMES
Fresno Guest Homes is a leading provider of affordable, boutique-style residential assisted living services in Fresno, CA that specializes in offering a coordinated and integrated system of care to high-acuity older adults with multiple chronic illnesses, including Alzheimer’s and other dementia.
Fresno Guest Homes differentiates itself by providing complex care and medical services coordination in a home-like environment, communicating effectively, and making resident and family satisfaction its top priority.
POSITION SUMMARY
The Business Office Manager plays a vital administrative and operational role in supporting the delivery of Home Health (HH) and Hospice services. This position ensures accurate intake processing, document organization, scheduling, compliance, and efficient use of the Axxess platform. It also supports agency regulatory requirements and facilitates communication between care teams, physicians, and families.
This is a high-responsibility support position ideal for someone with excellent organizational skills, strong familiarity with electronic health platforms, and a working knowledge of home health and hospice operations.
KEY RESPONSIBILITIES
Admissions & Intake
- Process and input referrals; prepare admission packets and facility folders
- Schedule visits and distribute intake paperwork and updates to RN staff
- Upload and manage documents (POCs, RXs, labs) in Axxess
Axxess & Document Management
- Oversee therapy schedules, physician/vendor setup, and NOA submissions
- Log signed orders, generate reports, and manage QA submissions to IQIES
Compliance & Agency Operations
- Maintain required logs, dispose/order supplies, and manage quarterly meetings
- Support audits, in-services, and agency evaluations; coordinate IDG meetings
Discharges
- Notify families of discharges, prepare required forms, and retrieve facility folders
QUALIFICATIONS
- Bachelor Degree - Health Administration (or Healthcare Management)
- 2-3 years of administrative or healthcare operations experience, HH/Hospice preferred
- Proficiency with Axxess or similar EHR systems
- Strong organization, communication, and attention to detail
Work Environment & What We Offer:
- Work is conducted at both a typical office environment and on-site at assigned facilities, engaging with residents, families, and staff.
- Competitive wages and a comprehensive benefits package including Health Insurance (Medical, Dental, and Vision), Paid Sick Leave, and a 401k & Deferred Profit-Sharing Plan
- Opportunities for ongoing professional development and career growth.
- A dynamic, supportive, and collaborative work environment.
Learn more about this Employer on their Career Site
