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Business Office Manager (Long Term Care)

Castro County Nursing & Rehabilitation
Dimmitt, TX Full Time
POSTED ON 9/30/2026
AVAILABLE BEFORE 1/28/2027

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

Salary : $43,454 - $66,722

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