Business Office Manager (BOM)

About the role

We are seeking a results-driven Business Office Manager to lead revenue cycle operations within our skilled nursing facility. The ideal candidate is detail-oriented, highly organized, and proactive with a strong ability to collaborate across departments to ensure seamless financial operations and optimal revenue cycle performance. We’ve been recognized by Newsweek and Plant-A Insights Group as one of America’s Most Admired Workplaces for 2026! As an employee recently said, “I feel I have a lot of support. I feel like part of the team.”

Responsibilities

• Oversee daily operations of the business office, ensuring adherence to regulatory and company standards
• Manage census, daily deposits and cash posting
• Handle private pay collections
• Manage resident trust accounts
• Oversee Medicaid eligibility processes
• Partner with billing team to support accurate and timely submission of insurance claims
• Resolve billing issues
• Drive cash collections and reduce accounts receivable aging
• Ensure overall financial accuracy and compliance

Requirements

• High school diploma or equivalent required; some college coursework in business, healthcare administration, or a related field preferred
• Minimum two (2) years experience in a long-term care business office or other related healthcare setting
• Working knowledge of health insurance payers, including Medicare, Medicaid, and Managed Care plans
• Understanding of Medicaid eligibility requirements and the application process, including follow-up and documentation coordination
• Ability to communicate professionally and tactfully with residents, families, staff, and external partners
• Strong organizational and time management skills, with the ability to manage multiple priorities in a fast-paced environment
• Proficiency in Microsoft Office applications, including Outlook and Excel
• Experience with healthcare billing or electronic systems preferred

Benefits

• Flexible pay options: On-Demand Pay (paid as soon as tomorrow for work done today) or Weekly Pay schedule
• Positive, family-like atmosphere with supportive teamwork
• Generous PTO and comprehensive benefits package
• Career growth opportunities including Loan and Forgiveness program and educational programs
• Strong, stable leadership committed to customer service excellence and staff development
• Daily Pay available
• Benefit eligibility the first of the month following 30 days
• Comprehensive benefit packages including medical, dental, and vision
• Health Savings Account available with employer contribution
• 401K through Fidelity
• Employer-paid life insurance (full-time employees)
• Robust Employee Assistance Program
• Generous Paid Time Off (PTO)
• Educational, leadership, and tuition opportunities
• Various discount programs, including discounted childcare through KinderCare
• Wellness programs through WebMD
• Employee recognition programs
• Culture of employees creating an IMPACT

Schedule

Full-time, Monday through Friday.

Pay

Wage based on experience.