Business Office Manager

About the role

The Business Office Manager is an important member of our leadership team and helps ensure efficient operations, regulatory compliance, accurate reimbursement, and a positive experience for our residents, families, and employees.

Responsibilities

• Manage billing for Medicare, Medicaid, commercial insurance, and private-pay accounts, ensuring accurate and timely reimbursement.
• Oversee accounts receivable, collections, billing inquiries, reconciliations, and outstanding balances.
• Manage accounts payable, vendor invoices, payment processing, purchasing, and related recordkeeping.
• Monitor revenue, expenses, budgets, and financial performance while helping identify opportunities for cost control.
• Coordinate financial reporting, audits, and regulatory requirements.
• Manage payroll processes, including timekeeping, payroll processing, deductions, and related documentation.
• Support human resources functions, including recruitment, onboarding, benefits administration, employee relations, performance management, and training.
• Maintain accurate and confidential employee and personnel records.
• Serve as a resource for employees regarding payroll, benefits, and HR-related questions.
• Ensure accurate and timely submission of claims and assist with resolving billing discrepancies, denials, coding concerns, and appeals.
• Stay current on healthcare billing regulations, reimbursement requirements, and payer guidelines.
• Coordinate purchasing of supplies, equipment, and services while monitoring expenditures and vendor agreements.
• Prepare required reports and data submissions for regulatory agencies, payers, and accrediting organizations.
• Partner with leadership and department heads to strengthen policies, procedures, internal controls, and regulatory compliance.
• Assist residents and families with billing questions, financial matters, and available assistance programs.
• Promote teamwork, professionalism, and open communication across departments.
• Perform other duties as assigned.

Requirements

• 2–3 years of experience in healthcare billing, accounts receivable, payroll, financial management, or a related field.
• Long-term care, skilled nursing, senior living, or other healthcare experience preferred.
• Knowledge of Medicare, Medicaid, commercial insurance, healthcare reimbursement, and third-party payer processes.
• Understanding of human resources practices, employment requirements, and regulatory compliance.
• Proficiency with accounting and payroll systems and Microsoft Office, particularly Excel and Word.
• Familiarity with electronic health records (EHR) and healthcare information technology is preferred.
• Strong attention to detail, analytical thinking, and problem-solving skills.
• Excellent communication, interpersonal, and customer service skills.
• Ability to prioritize competing responsibilities and meet deadlines in a fast-paced environment.
• Commitment to confidentiality, integrity, professionalism, and exceptional service.

Benefits

• 401(k), Holiday Pay & Paid Time Off (PTO)
• Dental, Health, Vision, Life insurance & more
• Competitive Wages
• Advancement Opportunities
• Exclusive Aspire Senior Living Perks