
VANKLIF AUTHOR
Charlene McCullough
Business Office Manager, Assisted Living & Memory Care
Charlene McCullough is a business office manager in assisted living and memory care, handling billing, payroll, Medicaid and long-term care billing, and resident trust accounts. She has run the full back office for communities ranging from a 90-unit assisted living and memory care community to owner-operated memory care homes in Oregon, and has built and automated payroll and office systems from the ground up.
EXPERIENCE
7 years managing financial operations across a 90-unit licensed assisted living community and two Oregon memory care homes
WRITES ABOUT
assisted living billing, Medicaid and long-term care billing, resident trust accounts, assisted living payroll, senior care finance, back-office operations, care software and automation, HR compliance
VERIFY
LinkedIn profile ↗About the author
Charlene McCullough has spent her career inside the business office of senior care. That's the desk where the billing, the payroll, and the payer paperwork actually get done.
As Business Office Manager at Spruce Point Assisted Living and Memory Care in Florence, Oregon, a 90-unit licensed community, she ran the facility's complete financial operation: accounts payable and receivable, resident statements and collections, Medicaid payments and long-term care billing, resident trust and personal spending accounts, and payroll for a 24/7 care staff, including garnishments and child support withholding. She also handled the HR side of the office, from onboarding and background checks to E-Verify and SAIF workers' compensation reporting.
She currently manages all aspects of financials and payroll for two assisted living facilities, where she has built payroll systems from scratch and automated front and back office operations for a small owner-operated team.
That range, from a mid-size licensed community to small residential care homes, means she's seen how the money side of senior care works at both ends of the industry. She writes for Vanklif about the back office: billing, payroll, payer mix, and the systems that keep small operators solvent.
Articles by this author

10 minute read
Non-Medical Home Care Software Options
Ten home care software platforms compared by what stage your agency is in, what payers you bill, and what you'll actually pay. AxisCare is the default pick. Your situation might change that.
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12 minute read
Home Care Marketing Ideas to Grow Your Business
Growing a home care business comes down to getting in front of the right people at the right time. This guide covers every marketing channel worth considering — what works, what doesn't, and where to start based on your budget and stage.
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18 min read
Home Care SEO Guide: An Operator's Playbook for Growth
SEO is one of the only client acquisition channels that compounds over time. This guide covers everything a home care operator needs to start building visibility in Google — from setting up your Google Business Profile to keyword research, page structure, and local citations.
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10 Minute Read
Home Care Advertising: Here's What Works
A complete guide to home care advertising for operators. Learn which advertising options actually convert, what to budget, and how to measure ROI before spending another dollar on ads.
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10 Minute Read
How to Get Home Care Clients
Three options determine whether a home care agency gets clients or not: referrals, online presence, and response speed. Most operators work two and ignore the third. This guide covers how to build all three into a system that brings in new clients consistently.
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