Business Office Manager and Human Resources

Levelland Nursing and Rehab | Levelland, Texas

Levelland Nursing and Rehab is seeking a dependable, organized, and detail-oriented Human Resources Coordinator / Business Office Manager to join our team. This dual-role position plays an important part in supporting our employees, maintaining accurate financial records, and ensuring the smooth day-to-day operation of our facility.

We are looking for a professional who takes ownership of their responsibilities, protects confidential information, communicates effectively, and can manage multiple priorities in a fast-paced healthcare environment. The ideal candidate is comfortable working with employees, residents, families, and outside agencies while maintaining high standards of accuracy, accountability, and compliance.

Human Resources & Employee Relations

• Maintain accurate employee files, personnel records, and HR system information, including new hires, pay changes, transfers, and terminations.

• Assist with recruitment, application review, interviews, onboarding, and new employee orientation.

• Support managers and employees with questions regarding company policies, procedures, and employment-related matters.

• Assist with payroll preparation, timekeeping review, payroll corrections, and employee pay inquiries.

• Coordinate employee recognition activities and support initiatives that promote employee engagement and retention.

• Maintain required HR documentation and assist with compliance related to applicable state and federal employment laws.

• Support performance management, disciplinary documentation, and other employment actions in coordination with facility leadership.

• Maintain strict confidentiality when handling employee information and sensitive workplace matters.

Business Office & Financial Operations

• Manage accounts receivable activities, including billing follow-up, collection correspondence, and outstanding balance resolution.

• Prepare and process private-pay billing, post daily deposits, and maintain accurate financial records.

• Submit and follow up on Medicare, Medicare Secondary Payer (MSP), managed care, HMO, and other insurance claims.

• Ensure claims and billing tasks are completed accurately and within established deadlines.

• Coordinate hospice billing and maintain communication with applicable providers and insurance representatives.

• Maintain resident trust fund records and ensure resident funds are handled and documented in accordance with applicable requirements and facility policies.

• Complete financial verifications for new admissions and communicate with residents and families regarding billing and account questions.

• Monitor changes in census, payer sources, coinsurance, admissions, and discharges to help ensure accurate billing.

• Distribute incoming mail and oversee routine business office functions.

• Maintain organized, accurate records and assist with audit preparation and financial compliance reviews.

Team Support & Operational Coordination

• Work closely with facility leadership and department managers to address operational needs and resolve issues promptly.

• Participate in interdisciplinary meetings and communicate important changes affecting billing, staffing, and resident accounts.

• Cross-train designated team members to support continuity of business office operations and ensure backup coverage for essential duties.

• Identify opportunities to improve processes, organization, accuracy, and efficiency.

• Perform other related duties as needed to support the successful operation of the facility.

• Minimum of two years of experience in human resources, payroll, business office operations, or a related field preferred.

• Previous experience in a skilled nursing facility, long-term care setting, or healthcare business office is highly desirable.

• Working knowledge of payroll processes, employee records, accounts receivable, and insurance billing.

• Familiarity with Medicare, managed care, resident trust funds, or long-term care billing is a plus.

• Strong computer skills, including data entry, 10-key, spreadsheets, and electronic recordkeeping systems.

• Excellent organizational skills with the ability to prioritize multiple responsibilities and meet deadlines.

• Strong written and verbal communication skills and the ability to work professionally with employees, residents, families, and outside agencies.

• Ability to exercise sound judgment, maintain confidentiality, and handle sensitive information appropriately.

• Dependable, accountable, and proactive, with a willingness to learn and take initiative.

We need someone who is willing to roll up their sleeves, take ownership of their work, and help keep both our HR and business office functions running smoothly. The right person understands that accuracy, follow-through, professionalism, and teamwork matter every day.

If you are organized, solutions-oriented, and enjoy a role where you can make a meaningful contribution to both employees and residents, we encourage you to apply to Levelland Nursing and Rehab.

Join our team and help us deliver dependable support to the people who make our facility a community.