Business Office Manager

Job Summary

The Business Office Manager (BOM) is responsible for overseeing the financial, administrative, and payroll functions at Hope Hospice. This role holds full ownership and accountability for the accuracy, compliance, and overall performance of all business office operations within the agency.

The BOM leads with a supportive, team-focused approach—fostering a positive work environment, developing staff, and promoting collaboration—while maintaining clear expectations, strong accountability, and consistent follow-through.

Operating at the agency level, the BOM partners closely with corporate leadership and peer agencies to ensure alignment with organizational standards, consistency in processes, and continuity of support. This role serves as a critical link between field operations and corporate finance and HR, ensuring accurate payroll processing, regulatory compliance, and efficient day-to-day operations.

The Business Office Manager also plays a key role in driving standardized processes across all agencies while supporting agency-level independence in daily operations.

Responsibilities:

Payroll Management

• End-to-end payroll processing for all agency staff (clinical, administrative, and contracted employees).
• Completes and maintains employee personnel records; records employee status and rate changes, benefit reporting and verification, vacation and sick changes, and accident/incident reporting and follow-up, along with other duties as outlined in the Business Office Manager training manual.
• Audit and validate timekeeping data from systems (e.g., UKG Ready or equivalent), ensuring accuracy of hours worked (including visits/productivity for clinicians); PTO, holiday, and overtime calculations; and pay rate changes and differentials.
• Resolve payroll discrepancies quickly and professionally.
• Maintain compliance with federal and state wage and hour laws.
• Partner with HR and Finance on payroll reporting, audits, and corrections.

Human Resources Administration

• Maintain accurate employee records, including pay rates, status changes, licenses, and certifications.
• Support onboarding, orientation, and offboarding processes.
• Monitor PTO, attendance, and employee status changes.
• Assist with employee relations and conflict resolution.
• Ensure compliance with company policies and regulatory requirements.

Financial Operations

• Oversee Accounts Payable (AP): invoice processing, approvals, and tracking.
• Support Accounts Receivable (AR): collections, payment posting, and follow-up.
• Assist Administrator with budgeting, expense tracking, and variance analysis.
• Oversee and support the pre-billing audit process to ensure accuracy, completeness, and compliance prior to claims submission.
• Proven experience in medical office management or healthcare practice management with a strong background in fiscal oversight and team supervision.
• Extensive knowledge of EMR/EHR systems such as eClinicalWorks or Eaglesoft; proficiency in Microsoft Office Suite is essential.
• Demonstrated expertise in managing medical billing, coding (including HIPAA compliance), budgeting, and financial reporting within a healthcare setting.
• Prior experience working in dental clinics or acute care environments is highly desirable.
• Strong understanding of healthcare regulations including JCAHO standards, managed care policies, and health regulation policies.
• Excellent managerial communication skills coupled with customer service orientation to effectively lead teams and engage with patients.
• Ability to handle sensitive information with discretion while maintaining high levels of accuracy in medical records management.
• Knowledge of nursing practices or hospital experience is a plus; familiarity with managed care and utilization management is beneficial.
• Personnel Records & Compliance Oversight
• Ensure accuracy and completeness of electronic medical records (EMR).
• Maintain compliance with CMS, state, and accreditation standards.
• Oversee documentation workflows and audit readiness.
• Support internal and external audits.

Operations & Office Management

• Oversee daily office operations.
• Ensure efficient workflows for intake and scheduling support.
• Support Interdisciplinary Team (IDT) meeting preparation.
• Maintain office systems (phones, IT coordination, equipment).
• Manage vendor relationships and office supply budgets.

Communication & Leadership

• Serve as a central communication hub between leadership, field staff, and corporate teams.
• Promote a positive, accountable, and service-oriented culture.
• Ensure high-level customer service for patients, families, and referral partners.
• Support leadership initiatives and organizational goals.

Data Integrity & Systems Management

• Maintain accurate data within EMR and payroll systems.
• Run and analyze operational and payroll reports.
• Identify trends, errors, and opportunities for improvement.

Education

• High school diploma required; some college preferred.
• Bachelor's degree in Business Administration, Healthcare Administration, or related field preferred.

Experience

• Minimum of four (4) years of business office management or administrative leadership experience preferred.
• Previous experience in a healthcare setting (home health, hospice, or related field) strongly preferred.
• Experience with payroll processing, accounts payable/receivable, and HR functions preferred.
• Experience working with electronic medical records (EMR) and/or payroll systems.

Join us as a Business Office Manager and play a pivotal role in elevating our healthcare practice’s operational excellence! Your leadership will directly impact patient care quality while supporting our team’s growth and success.

Pay: $24.00 - $28.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• Business Office Management: 4 years (Required)

Work Location: In person

Salary : $24 - $28