Business Office Manager

Essential Duties

Revenue Cycle & Financial Operations:

• Manage and maintain accurate daily census reporting, including status changes

• Oversee RFMS system utilization and ensure data integrity

• Process and approve write-offs and resident refunds in accordance with policy

• Run and verify monthly insurance eligibility

• Lead private pay collections, including follow-up on outstanding balances and bad debt

• Supervise all aspects of billing, accounts receivable (AR), and accounts payable (AP)

• Generate and distribute monthly billing statements and reports

• Ensure timely and accurate cash posting

• Conduct routine triple-check processes prior to billing submission

• Coordinate and complete all month-end close activities

• Manage system uploads and data transmissions

• Oversee mailing of resident statements and collection letters

• Obtain and track deposits for new admissions/move-ins

Cash Handling & Trust Management:

• Prepare bank deposits and reconcile financial transactions

• Manage and reconcile petty cash

• Assist with resident trust accounts, including maintaining balances and distributing monthly statements

Operational & Administrative Support:

• Maintain and support business office systems and processes

• Attend stand-up or leadership meetings as requested by the Executive Director

• Support community operations through cross-functional collaboratio

Supervisory Requirements

• May provide or assist with team supervision at the direction of the Executive Director

• Ensure compliance with all applicable federal, state, and payer regulations

• Partner with leadership to improve revenue cycle outcomes and operational efficiency

Qualification

Education and/or Experience


• High school diploma or equivalent required

• Minimum of one (1) year experience in a long-term care or senior living environment preferred

• Strong understanding of billing, collections, and payment processes in healthcare

• Experience with RFMS or similar billing systems preferred

• Knowledge of PCC and Workday systems is a plus

Mathematical Skills


Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Certificates, Licenses, Registrations


To perform this job successfully, an individual must have knowledge in clerical functions and computer literacy. Proficiency in Excel is preferred Must be able to type a minimum of 40 words per minute and use a 10-key calculator. Must have knowledge of office machines and equipment.

Physical Demands

The essential functions of this position require:

• Prolonged use of computers

• Frequent standing, walking, reaching, pushing, and pulling

• Occasional sitting

• Frequent communication (talking and hearing)

• Ability to lift up to 50 pounds

• Physical activities such as climbing, balancing, stooping, kneeling, or crouching

• Visual abilities including close, distance, color, peripheral, and depth perception

Work Environment

• The work environment is typically low to moderate noise level

• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

Additional Information

This job description is intended to describe the general nature and level of work performed. It is not an exhaustive list of all responsibilities, duties, or skills required. Management reserves the right to assign or reassign duties and responsibilities at any time based on business needs.