Sr. Business Office Manager

Business Office Manager

Position Overview

The Business Office Manager (BOM) is responsible for overseeing all financial and business office operations of Chalet Subacute, ensuring accurate recording of facility revenue, timely billing, collection of payments, and compliance with federal and state regulations.

This position requires in-depth knowledge of skilled nursing facility (SNF) operations, billing procedures, and healthcare reimbursement regulations.

The BOM serves as a key leader in the facility, working closely with the Administrator, clinical leadership, admissions, and other department heads to ensure financial and operational efficiency.

Essential Duties and Responsibilities

**Financial and Billing Operations**

• Manage and oversee all business office functions, including Census Management, Cash Management, Billing and Accounts Receivable Management, Collections Management, Refunds and Adjustments, and Trust Fund Management.

• Ensure daily census balances and daily cash deposits reconcile with bank statements.

• Perform accurate and timely posting of charges, payments, and adjustments.

• Monitor account receivable aging reports, develop and implement strategies to meet collection metrics, and address delinquent accounts.

• Coordinate routine accounts receivable meetings with the Administrator and business office staff.

• Complete month-end close accurately and on schedule, including the “Triple Check” review for billing compliance.

• Reconcile resident trust accounts monthly and ensure proper petty cash management.

**Compliance and Regulatory Oversight**

• Ensure compliance with federal and state regulations, including Medicare, Medicaid, Managed Care, and private payor billing requirements.

• Maintain adherence to HIPAA confidentiality standards.

• Participate in quality management initiatives, identifying opportunities for operational improvements.

• Support compliance and audit requests from corporate and governmental agencies.

**Team Leadership and Development**

• Supervise business office staff, including Accounts Payable, Payroll, and Reception personnel.

• Train, monitor, and support staff to ensure accurate, timely, and compliant operations.

• Foster a positive work environment and maintain strong professional relationships across all departments.

**Collaboration**

• Partner with Admissions to educate residents and responsible parties regarding insurance and personal liability.

• Collaborate with clinical and operational leadership to support financial and operational goals.

**Safety and Workplace Standards**

• Ensure adherence to OSHA and workplace safety standards.

• Maintain a safe, clean, and organized work environment.

**Other Duties**

• Perform additional tasks and responsibilities as assigned by the Administrator.

Position Qualifications

**Education and Experience**

• High School diploma or GED required; Associate’s or Bachelor’s degree in Accounting, Finance, or Healthcare Administration preferred.

• Minimum 2 years’ experience as a Business Office Manager or Assistant BOM in a Skilled Nursing Facility or long-term care setting / Ideally Subacute Setting.

• Proven experience with Medicare, Medicaid, Managed Care, HMO billing, and private payors.

• Knowledge of SNF reimbursement regulations, accounting principles, and cost reporting standards.

**Skills and Competencies**

• Strong leadership, planning, and organizational skills.

• Ability to interpret financial records, analyze accounts, and resolve discrepancies.

• Excellent verbal and written communication skills.

• Ability to work collaboratively across departments and with external agencies.

• Critical thinking and problem-solving skills for financial and operational decision-making.

• Proficiency with Microsoft Office Suite and accounting software; experience with SNF billing systems preferred.

**Certifications/Licensure**

• None required.

Work Environment and Benefits

• Work is performed in a skilled nursing facility office environment.

• Full-time, in-person role.

• Competitive compensation and potential for quarterly performance-based bonus.

• Health benefits for full-time employees starting the 1st of the month following hire.

• Opportunities for career growth within Chalet Subacute and affiliated healthcare facilities.

Core Values and Mission Alignment

Chalet Subacute is committed to providing kind, competent, and compassionate care to our residents.

The Business Office Manager is expected to uphold these values in financial and administrative operations, ensuring both the business and clinical teams can deliver the highest quality of care.

Salary : $100,000 - $130,000