Business Office Manager (BOM)

The Business Office Manager (BOM) at Pine Grove Manor Skilled Nursing & Rehabilitation Center oversees the financial and administrative operations of the facility, ensuring accurate billing, census management, resident trust accounts, reimbursement processes, and regulatory compliance.

Key Responsibilities

• Manage daily operations of the Business Office in accordance with facility policies and federal, state, and local regulations.
• Oversee resident billing, accounts receivable, collections, and payment posting.
• Maintain accurate census records and complete daily census verification processes.
• Serve as the primary contact for billing inquiries and financial matters for residents and their families.
• Ensure all room, ancillary, therapy, and miscellaneous charges are accurately entered and billed in PCC.
• Monitor and maintain resident trust funds and financial records.
• Collaborate with clinical, admissions, MDS, and administrative teams to ensure accurate reimbursement and revenue cycle management.
• Complete month-end business office functions and reporting requirements.
• Coordinate Medicare, Medicaid, Managed Care, and Private Pay billing processes.
• Ensure compliance with Triple Check billing procedures and reimbursement guidelines.
• Manage Medicare ADRs, audits, denials, and appeals.
• Perform additional duties as assigned by the Administrator.

Qualifications

• A high school diploma or GED is required.
• An associate degree in Business, Accounting, Healthcare Administration, or a related field is preferred.
• Previous experience as a Business Office Manager, Assistant Business Office Manager, Accounts Receivable Specialist, Billing Manager, or Healthcare Financial Coordinator in a skilled nursing facility (SNF), long-term care facility, rehabilitation center, or healthcare setting is preferred.
• Knowledge of Medicare, Medicaid, Managed Care, Private Pay, and healthcare reimbursement systems is essential.
• Experience with PointClickCare (PCC) is strongly preferred.
• A strong understanding of revenue cycle management, collections, and healthcare billing practices is necessary.
• Excellent communication, organizational, and customer service skills are required.
• The ability to maintain confidentiality and handle sensitive financial information is crucial.
• A professional appearance and the ability to build positive relationships with residents, families, staff, physicians, and regulatory agencies are important.