Business Office Manager

Position Summary

The Business Office Manager (BOM) is responsible for overseeing the daily financial and administrative operations of the facility business office. This role is a key interdisciplinary team member and ensures accurate billing, collections, accounts receivable/payable, resident trust management, and compliance with federal and state regulations in a skilled nursing and rehabilitation setting.

Key Responsibilities

Business Office & Financial Operations

• Manage all aspects of the business office, including billing, accounts receivable, accounts payable, and private pay collections
• Maintain and reconcile resident trust fund accounts
• Conduct and participate in monthly Triple‑Check meetings with clinical and interdisciplinary teams
• Monitor census and payor accuracy and ensure data integrity in financial systems
• Process private statements and follow up on outstanding balances
• Prepare and review financial reports as required by the Administrator or Regional BOM

Billing & Payor Management

• Oversee billing for Medicare, Medicaid, Managed Care, and Private Pay
• Handle resident Medicaid applications and redeterminations
• Communicate with residents and family members regarding payor benefits, billing statements, and payment expectations
• Work closely with the Regional Business Office Manager to reduce AR days and manage past‑due accounts

Compliance & Collaboration

• Ensure compliance with company policies, state and federal regulations, and long‑term care billing requirements
• Maintain confidentiality of all resident and financial information
• Serve as a liaison between the business office, facility leadership, residents, families, vendors, and government agencies
• Support survey readiness and corrective action plans related to business office functions

Supervision & Leadership

• Supervise and support front‑office staff as applicable
• Assist with training, performance management, and accountability of business office personnel
• Promote a professional, organized, and resident‑focused office environment