What are the responsibilities and job description for the Business Office Manager, Skilled Nursing Facility / Nursing Home position at Medical Talent Pros?
Business Office Manager, Skilled Nursing Facility / Nursing Home
Position Summary
We are seeking an organized, detail-oriented Business Office Manager to oversee the financial and administrative operations of a skilled nursing facility. This individual will be responsible for managing billing and collections, resident accounts, insurance verification, census-related financial records, and accounts payable and receivable. The ideal candidate has experience in a nursing home or healthcare setting, strong follow-through, and the ability to work effectively with facility leadership, residents, families, and outside agencies.
Key Responsibilities
Billing and Collections
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Oversee resident billing, accounts receivable, collections, and payment posting.
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Ensure timely and accurate billing for Medicare, Medicaid, managed care, private-pay residents, and other applicable payers.
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Monitor outstanding balances, investigate denials and payment discrepancies, and follow up on unpaid claims.
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Coordinate with billing vendors, insurance companies, government agencies, and other third parties as needed.
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Maintain accurate records of outstanding accounts and communicate collection concerns to facility leadership.
Resident Accounts and Financial Administration
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Manage resident financial records, private-pay accounts, deposits, refunds, and account reconciliations.
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Verify insurance coverage, payer eligibility, and authorization requirements in coordination with admissions and clinical staff.
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Assist residents and families with billing questions, payment arrangements, and financial documentation.
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Maintain accurate documentation related to payer changes, admissions, discharges, and financial responsibility.
Accounts Payable and Payroll Support
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Process vendor invoices, review expenses for accuracy, and coordinate payments according to facility procedures.
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Assist with accounts payable, expense tracking, cash management, and financial reporting.
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Support payroll administration and timekeeping processes as assigned.
Compliance and Recordkeeping
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Maintain organized, confidential financial and administrative records.
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Follow applicable Medicare, Medicaid, HIPAA, and other regulatory requirements related to assigned responsibilities.
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Prepare documentation for internal reviews, financial audits, and regulatory or payer inquiries.
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Ensure business office procedures are consistently followed and records are maintained accurately.
Teamwork and Facility Operations
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Work closely with the Administrator, admissions team, social services, nursing, and corporate billing personnel.
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Help resolve billing and payment issues that may affect resident accounts or facility cash flow.
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Develop and maintain effective business office procedures, tracking systems, and reporting processes.
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Perform other administrative and financial duties as needed.
Qualifications
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Previous experience in a business office role, preferably in a skilled nursing facility, nursing home, or other healthcare setting.
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Knowledge of Medicare, Medicaid, managed care, private-pay billing, and healthcare accounts receivable.
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Experience with billing systems, payment posting, collections, account reconciliation, and financial recordkeeping.
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Strong organizational skills and attention to detail.
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Excellent communication and problem-solving abilities.
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Ability to manage competing priorities, meet deadlines, and maintain confidentiality.
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Proficiency with Microsoft Office and electronic billing or accounting systems.
Preferred Qualifications
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Prior experience as a Business Office Manager in a skilled nursing facility.
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Familiarity with long-term care reimbursement, Medicaid eligibility, Medicare Part A billing, and managed care authorizations.
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Experience with nursing home financial software and electronic health record systems.
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Knowledge of the admissions-to-billing process and census management.
Success in This Role
The successful candidate will help maintain accurate resident accounts, improve collections and cash flow, reduce billing errors and aged receivables, and ensure the business office operates efficiently while providing professional service to residents and their families.