Revenue Cycle Business Office Manager (BOM)

Ashton Health & Rehabilitation is seeking an experienced Revenue Cycle Business Office Manager to oversee financial and administrative operations in our skilled nursing facility. This position ensures accurate billing, timely collections, and compliance with regulatory requirements while supporting residents and families with financial matters.

About the role

The Revenue Cycle Business Office Manager (BOM) oversees the financial and administrative operations of the skilled nursing facility, ensuring accurate billing, timely collections, compliance with regulatory requirements, and resident financial conversations and collections. This position requires efficient office management to support resident care and facility operations.

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.

Responsibilities

• Financial Management
  • 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.
• Resident Accounts & Admissions
  • Coordinate financial aspects of resident admissions, including verification of insurance coverage and benefits.
  • Assist residents and families with financial inquiries and payment arrangements.
  • Maintain accurate resident trust accounts in compliance with state and federal regulations.
  • Generate and distribute patient statements.
  • Explain financial statements to residents as needed.
  • Communicate with patients and families regarding outstanding balances.
  • Set up payment plans and assist with financial counseling as needed.
  • Handle escalated billing inquiries with professionalism and empathy.
• Compliance & Documentation
  • Ensure compliance with HIPAA, state, and federal billing regulations.
  • Maintain accurate and organized documents and records for audits and inspections.
  • Implement and monitor internal controls to prevent fraud and errors.
• Team & Office Support
  • Oversee Receptionist and schedule creation.
  • Develop and maintain efficient office workflows and procedures.
  • Collaborate with clinical and administrative teams to support overall facility operations.

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.
• Proficiency in Microsoft Office and billing software.
• Excellent organizational, communication, and leadership skills.

Skills

• 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.