Business Office Manager (Long Term Care)

Castro County Nursing & Rehabilitation is seeking a dedicated and experienced Business Office Manager. The Business Office Manager (BOM) is responsible for overseeing all business operations of the Long Term Care facility, including billing, collections, payroll, accounts payable/receivable, and resident trust accounts. The BOM ensures compliance with federal, state, and facility policies while providing excellent customer service to residents, families, and staff.

Key Responsibilities:

• Manage the day-to-day operations of the business office, ensuring accuracy and efficiency in financial and administrative functions.


• Coordinate billing for Medicare, Medicaid, private pay, and third-party insurance payers.


• Monitor and manage resident accounts, including monthly statements, collections, and payment arrangements.


• Maintain accurate census records and collaborate with admissions and clinical teams to ensure billing accuracy.


• Process accounts payable and ensure timely payments to vendors.


• Administer and reconcile resident trust accounts in accordance with regulatory requirements.


• Serve as the primary contact for financial inquiries from residents and their families.


• Prepare and submit required reports to corporate office and regulatory agencies.


• Train, supervise, and support business office staff (if applicable).


• Participate in audits and assist with survey preparedness related to financial operations.


• Protect resident confidentiality and handle all financial data with integrity and discretion.


• Other duties as assigned

Qualifications:

• High school diploma or equivalent required; Associate or Bachelor’s degree in Accounting, Business Administration, or related field preferred.


• Minimum of 2 years of business office experience, preferably in a healthcare or long-term care setting.


• Knowledge of Medicare, Medicaid, and third-party insurance billing processes.


• Proficiency in Microsoft Office Suite and electronic billing systems (e.g., PointClickCare or MatrixCare preferred).


• Strong organizational, communication, and interpersonal skills.


• Ability to manage multiple priorities in a fast-paced environment.


• Understanding of HIPAA and financial compliance regulations in healthcare.

Work Environment:

This position operates in a professional office environment within a healthcare facility. Occasional lifting of files or office supplies may be required. Regular interaction with residents, families, and interdisciplinary staff teams is expected.

Equal Opportunity Employer