Revenue Cycle Business Office Manager (BOM)

SanStone Health & Rehabilitation is currently seeking a Revenue Cycle Business Office Manager (BOM) to join our fantastic team of dedicated health care professionals.

Benefits include:
·           Competitive Pay, commensurate with experience
·           Regular Employee Appreciation Events to include refreshments and gifts 
·           Fun and supportive work environment that encourages teamwork and collaboration 
·           Career Growth and Training Opportunities
·           Paid Time Off and 8 Paid Holidays  
·           New health insurance plans to include a prescription plan, FSA, and HSA plans
·           Dental and Vision insurance
·           401K with employer match
·           Tuition Reimbursement Programs

We are seeking an experienced Revenue Cycle Business Office Manager (BOM) to oversee financial and administrative operations in our skilled nursing facility. This position is responsible for accurate billing, timely collections, and compliance with regulatory requirements while supporting residents and families with financial matters. We are looking for a friendly, detail-oriented and experienced Revenue Cycle BOM for this role. The ideal candidate should be able to manage multiple priorities, work through complex situations in a positive manner and be able to embrace an ever-changing and fast-paced environment.

Please submit your resume if you meet the following criteria:

·       Skilled nursing facility experience

·       Minimum of 1 year of healthcare related revenue cycle experience from a Medicare, Medicaid and insurance billing perspective

·       Willingness to work with residents and families to collect out of pocket co-pays

·       Follow-up and seek payment on insurance, Medicare and Medicaid claims

·       Work with residents to complete Medicaid pending application process based on NC State requirements

·       Please note: This is not a remote position, it requires the candidate to be in the office 5 days a week, except for occasional rotation for Manager on Duty hours

 

Position Summary:

The Revenue Cycle Business Office Manager (BOM) is responsible for overseeing the financial and administrative operations of the skilled nursing facility. This role ensures accurate billing, timely collections, compliance with regulatory requirements, resident financial conversations and collections. This position requires efficient office management to support resident care and facility operations.

 Key Responsibilities include:

Financial Management

• Manage accounts receivable.
• Oversee resident billing, including Medicare, Medicaid, private insurance, and private pay accounts.
• Ensure timely submission of claims and follow-up on denials or unpaid balances.
• Prepare and review monthly revenue cycle reports to ensure clean account receivable
• Prepare and submit claims to Medicare, Medicaid, and commercial insurance carriers.
• Monitor claim status and follow up on unpaid or denied claims. Make daily collection calls to resolve AR for reconciliation
• Resolve claim rejections and denials by researching, analyzing, and correcting errors.
• Attend weekly meetings such as care plan, 72-hour, resident discharge and triple check
• Ensure compliance with payer-specific guidelines and regulatory requirements.

Resident Accounts & Admissions

• Coordinate financial aspects of resident admissions, including verification of insurance coverage and benefits.
• Assist residents and families with financial inquiries and payment arrangements.
• Maintain accurate resident trust accounts in compliance with state and federal regulations.
• Generate and distribute patient statements. Explain financial statements to residents as needed
• Communicate with patients and families regarding outstanding balances.
• Set up payment plans and assist with financial counseling as needed.
• Handle escalated billing inquiries with professionalism and empathy

Compliance & Documentation

• Ensure c