Business Office Manager (Long Term Care)

Business Office & Human Resources Manager
Palo Duro Nursing Home is seeking a dedicated and experienced Business Office & Human Resources Manager. This dual-role position is responsible for overseeing the financial operations of the Long-Term Care facility as well as providing leadership in human resources functions. The ideal candidate will combine strong business office expertise with a people-first approach to employee relations, ensuring compliance, accuracy, and a supportive workplace environment.

Key Responsibilities

Business Office Functions

• 
  

  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.

Human Resources Functions

• 
  

  Coordinate employee recruitment, onboarding, and orientation processes in partnership with department leaders.



• 
  

  Maintain personnel records and ensure compliance with federal, state, and facility HR policies.



• 
  

  Assist with payroll processing, employee benefits administration, and leave management.



• 
  

  Provide support to department heads and employees on HR-related matters, including policies, performance, and employee relations.



• 
  

  Help facilitate training and development initiatives to support staff growth and regulatory compliance.



• 
  

  Monitor time and attendance records; address payroll discrepancies.



• 
  

  Support workplace safety initiatives and maintain compliance with employment regulations.



• 
  

  Foster a positive and inclusive work culture that values teamwork, respect, and employee engagement.

Qualifications

• 
  

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



• 
  

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



• 
  

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



• 
  

  Familiarity with HR practices, employment law, and regulatory compliance.



• 
  

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



• 
  

  Strong organizational, communication, and interpersonal skills.



• 
  

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



• 
  

  Understanding of HIPAA, financial compliance, and employment regulations in healthcare.

Work Environment

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

Equal Opportunity Employer