We are seeking an experienced and detail-oriented Business Office Manager to oversee the financial and administrative operations of our skilled nursing facility. This role is responsible for managing billing, accounts receivable, resident trust accounts, payroll coordination, and ensuring compliance with federal and state regulations.
The Business Office Manager plays a key leadership role in supporting the facility’s financial health while delivering excellent service to residents, families, and staff.
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Oversee all business office functions, including billing, collections, and accounts receivable
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Manage Medicare, Medicaid, Managed Care, and private pay billing processes
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Monitor and follow up on outstanding balances to maintain healthy cash flow
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Ensure accurate verification of insurance benefits and payer sources
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Manage resident trust accounts in compliance with regulatory guidelines
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Coordinate payroll processes and maintain employee records as required
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Prepare financial reports for Administrator and corporate leadership
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Ensure compliance with federal, state, and facility regulations
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Respond to resident and family billing inquiries in a professional and timely manner
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Supervise and support business office staff (if applicable)
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Assist with month-end closing and audits
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Minimum 2–3 years of experience in long-term care or skilled nursing business office operations preferred
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Strong knowledge of Medicare, Medicaid, and managed care billing
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Experience with EMR and billing software systems
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Strong understanding of accounts receivable management
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Excellent organizational and problem-solving skills
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High level of accuracy and attention to detail
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Ability to handle sensitive financial information confidentially
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Strong communication and customer service skills
