Revenue Cycle Business Office Manager (BOM)/Payroll Coordinator

SanStone Health & Rehabilitation is currently seeking a Revenue Cycle Business Office Manager (BOM)/Payroll Coordinator to join our fantastic team of dedicated health care professionals. Benefits include: 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 We are seeking an experienced Revenue Cycle Business Office Manager (BOM) to oversee financial and administrative operations in our skilled nursing facility. This position is responsible for employee payroll, accurate billing, timely collections, and compliance with regulatory requirements while supporting residents and families with financial matters. The role requires a friendly, detail‑oriented individual capable of managing multiple priorities in a fast‑paced environment. Required qualifications include: 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 This is not a remote position; the candidate must be in the office 5 days a week, except for occasional rotation for Manager on Duty hours Position Summary The Revenue Cycle Business Office Manager (BOM)/Payroll Coordinator is responsible for employee payroll and for overseeing the financial and administrative operations of the skilled nursing facility. This role ensures accurate billing, timely collections, compliance with regulatory requirements, resident financial conversations and collections. Efficient office management to support resident care and facility operations is required. Key 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 accounts 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 Complete biweekly payroll for facility employees 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 Qualifications Associate’s or bachelor’s degree in business administration, accounting, or related field (preferred) Minimum 2‑3 years of experience in healthcare billing, collections, and payroll 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 At SanStone Health & Rehabilitation, we offer employment opportunities in North Carolina that are filled with purpose. We are an organization that is dedicated to making a difference in our industry and caring as passionately for our employees as we do our residents. If you are looking for a rewarding opportunity in a compassionate setting, apply today! #J-18808-Ljbffr SanStone Health & Rehabilitation