What are the responsibilities and job description for the Regional Business Office Manager position at Pioneer Health Care Management Inc?
Position Summary:
We are seeking an experienced and dynamic Regional Business Office Manager (RBOM) to oversee the business office operations of multiple skilled nursing facilities within the region. The RBOM will be responsible for ensuring financial performance, compliance with regulations, and efficient revenue cycle management across all assigned facilities. This position requires strong leadership, analytical skills, and a thorough understanding of Medicaid, Medicare, private insurance, and long-term care billing processes.
Core Responsibilities:
Oversee and support business office operations across multiple skilled nursing facilities within the assigned region.
Ensure timely and accurate billing and collections processes, including Medicare, Medicaid, private pay, and managed care claims.
Train and mentor facility-based business office managers and staff to improve performance and compliance.
Monitor and analyze financial metrics to identify trends, opportunities, and areas for improvement.
Implement standard operating procedures for business office functions to maintain consistency and efficiency.
Ensure compliance with federal, state, and local regulations regarding billing, collections, and financial documentation.
Collaborate with facility administrators and corporate leadership to achieve financial and operational goals.
Resolve escalated billing and reimbursement issues, working closely with payers and third-party vendors.
Conduct audits and reviews to ensure accuracy in financial reporting and adherence to policies.
Other duties as requested and assigned.
Minimum Qualifications:
Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field (or equivalent experience).
Minimum of 5 years of experience in business office management within a skilled nursing, long-term care, or healthcare setting preferred.
Experience managing multiple facilities or locations is required.
Strong knowledge of revenue cycle management, including billing, collections, and reimbursement processes.
Strong knowledge of Medicare, Medicaid, managed care, and private insurance regulations.
Proficiency in electronic health records (EHR) and MatrixCare.
Excellent leadership, communication, and problem-solving skills.
Ability to travel within the assigned region as needed.
