Business Office Manager

Job Summary The Business Office Manager is responsible for overseeing the financial and administrative operations of the nursing home to ensure accuracy, compliance, and operational effectiveness. You will lead, guide, and direct the financial operations, including billing, collections (A/R), accounts payable (A/P), and resident trust accounts, in accordance with generally accepted accounting principles (GAAP) and state/federal regulations. This person serves as a key member of the administrative team, often acting as the liaison between the facility, family members, and the organizational billing office. Essential Duties Financial Operations Manage billing and collections for Medicare, Medicaid, private insurance, managed care, hospice, VA, and private pay accounts. Monitor accounts receivable, cash collections, aging reports, and outstanding balances. Reconcile daily census and payer information to ensure accurate billing and reimbursement. Oversee resident trust accounts in compliance with state and federal regulations. Prepare monthly financial reports and assist with month-end close activities. Monitor census, payer mix, revenue trends, and financial performance indicators. Ensure compliance with GAAP, CMS requirements, and all applicable state and federal regulations. Resident & Family Financial Support Meet with residents and families to explain billing, coverage options, and financial responsibilities. Assist with Medicaid applications and conversion processes. PointClickCare (PCC) Administration Serve as the facility's PCC Super User. Manage user access, reporting, database administration, and vendor integrations. Provide reporting and system support to leadership and department managers. Policy, Documentation & Compliance Support the development, maintenance, and implementation of policies and procedures. Maintain organized regulatory and operational documentation. Participate in survey preparation, audits, and compliance reviews. Leadership & Operational Support Collaborate with leadership on financial, operational, and process improvement initiatives. Serve as a liaison between facility leadership, finance, residents, and families. Assist with special projects and administrative functions as assigned. Manage departmental timekeeping, ensuring employee time cards are accurate and complete; collaborate with Payroll to resolve discrepancies and process necessary corrections. Performance Measures Accounts receivable and collection performance. Accuracy and timeliness of billing, reporting, and financial processes. Survey readiness and regulatory compliance. Completion of projects and process improvement initiatives. Positive collaboration with residents, families, leadership, and team members. Position Qualification – Education, Experience & Licensure High school graduate or equivalent, required. A minimum of 3 years of experience in office management is required. Minimum one year of experience in a non-profit or fundraising area, preferred. Central Registry, required. Additional Skills Ability to read, write and communicate effectively in English. Strong presentation skills. Basic computer knowledge and experience with Corel, Work Perfect and Draw, QuickBooks and Microsoft products. Ability to use all office equipment. Able to record minutes from meetings. Specific demands not listed: Possible exposure to blood and/or body fluids/infectious disease/hazardous waste requiring the use of personal protective equipment. Exposure to odorous chemicals/specimens and latex products. Pre‑employment drug and alcohol screening is required. Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to age, race, color, religion, sex, national origin, disability or protected veteran status. If you’d like more information about your EEO rights as an applicant under the law, please click here. #J-18808-Ljbffr