Business Office Manager

Job Description

Job Description

Niles Nursing and Rehab Center is seeking an experienced and detail-oriented Business Office Manager (BOM) to join its team. The Business Office Manager oversees essential financial and administrative functions within the facility, including accounts receivable, resident billing, payer management, census reconciliation, and resident trust account records.

This role works closely with residents and their families, admissions personnel, facility leadership, and external agencies to support accurate financial documentation, timely reimbursement, and effective business office operations. The ideal candidate is organized, dependable, and knowledgeable about Medicare, Medicaid, and skilled nursing facility billing procedures.

Key Responsibilities

• Maintain and reconcile daily resident census records within the facility’s designated systems.

• Establish and update resident payer information, including changes in coverage and payment responsibility.

• Coordinate with the admissions team and residents’ families to facilitate completion of Medicaid applications.

• Maintain accurate and organized financial records for all residents.

• Process required authorizations for Medicaid and Medicaid-pending residents and establish applicable accounts as needed.

• Assist residents with representative payee arrangements and Social Security address updates when appropriate.

• Verify that responsible-party contact information is complete and accurate to support billing communications and account follow-up.

• Prepare, process, and scan financial deposits in accordance with established procedures.

• Communicate changes in resident status, payer source, income, admissions, and discharges to the appropriate administrative contacts.

• Conduct routine follow-up with residents and responsible parties regarding outstanding balances, private-pay accounts, and resident financial obligations.

• Complete Medicaid eligibility renewals, redeterminations, and required reauthorizations.

• Prepare and maintain reports related to Medicaid-pending accounts.

• Participate in Medicare review meetings and related administrative discussions.

• Verify Medicare eligibility and review coverage information and remaining benefit days for applicable residents.

• Maintain confidentiality and accuracy in all resident financial and billing records.

• Perform additional administrative and financial duties as assigned.

Required Skills and Qualifications

• Working knowledge of administrative systems and financial data entry.

• Basic proficiency in Microsoft Outlook, Excel, and Word.

• Strong organizational, communication, and follow-up skills.

• Ability to read, write, speak, and understand English effectively.

• Knowledge of Medicare and Medicaid eligibility, billing, and claims processes.

• Ability to manage multiple priorities while maintaining accuracy and attention to detail.

• Professional communication skills when working with residents, families, facility staff, and outside agencies.

Education and Experience

• High school diploma or equivalent required.

• Coursework or experience in bookkeeping, accounting, or business administration preferred.

• Three or more years of experience in a skilled nursing or long-term care setting preferred.

• Experience with resident billing, accounts receivable, payer verification, and government healthcare reimbursement is an advantage.

Physical Requirements and Work Environment

The position requires the ability to perform routine office and facility-related activities, including extended periods of sitting, walking, reaching, bending, lifting, grasping, and fine motor tasks. Occasional pushing and pulling may also be required. Duties may involve distinguishing odors and temperature variations within the work environment. These functions may be performed with or without reasonable assistance or mechanical aids, as appropriate.

The role may involve limited exposure to environmental hazards. Employees are expected to follow applicable workplace safety procedures and established facility protocols.

Compensation and Benefits

• 401(k)

• Medical insurance.

• Dental, vision, and disability coverage.

• Paid time off.

Niles Nursing and Rehab Center is an equal opportunity employer. Employment decisions are made in accordance with applicable federal, state, and local laws. Qualified applicants will be considered without unlawful discrimination based on any legally protected characteristic or status.