Revenue Cycle Business Office Manager

About the role

Be a part of something new at The Lodge at Sandhills Carolina! Our brand-new, state-of-the-art facility in Pinehurst, North Carolina (NC), was thoughtfully designed to redefine care through exceptional hospitality, innovative services, and a welcoming environment for both residents and team members. We are currently seeking a Revenue Cycle Business Office Manager (BOM) to join our fantastic team of dedicated health care professionals.

Responsibilities

• 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.
• 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.

Requirements

• 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.

Qualifications

• Associate’s or bachelor’s degree in business administration, Accounting, or related field (preferred).
• Minimum 2-3 years of experience in healthcare billing and collections in long-term care or skilled nursing.
• Strong knowledge of Medicare, Medicaid, and insurance billing processes.
• Strong knowledge in Microsoft and billing software.
• Excellent organizational, communication, and leadership skills.

Core Competencies

• Detail-oriented with strong analytical skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong interpersonal skills for resident and family interactions.
• Commitment to ethical and compliant business practices.

Benefits

• 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.

Schedule

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.