Revenue Cycle Business Office Manager (BOM)

About the role

SanStone Health & Rehabilitation is seeking a Revenue Cycle Business Office Manager (BOM) to oversee financial and administrative operations in its skilled nursing facility. The role ensures accurate billing, timely collections, regulatory compliance, and supports residents and families with financial matters.

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.
• 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.
• 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.
• 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.