Business Office Manager

Highlands Rehabilitation; Birmingham, Northern (AL, KY); Hybrid; USD 52,000 - 68,000; Full time

Job summary

Highlands Rehabilitation in Alabama seeks an experienced Business Office Manager to oversee the facility's financial and administrative operations, owning the revenue cycle, resident trust accounting, and payer coordination to keep the facility financially sound and compliant.

You will supervise business office staff, guide residents and families through Medicaid processes, coordinate with admissions on payer verification, and manage billing for private pay, Medicare and Medicaid.

Qualifications

• Experience with Alabama Medicaid long-term care application and eligibility processes.
• Prior business office experience in skilled nursing or long-term care.
• Familiarity with Medicare and Medicaid billing and revenue cycle management.
• Strong organizational skills and ability to work with residents, families and state agencies.
• Experience with billing software and Excel.

Responsibilities

• Manage full revenue cycle: private pay, Medicare, Medicaid, and managed care billing.
• Guide residents and families through Alabama Medicaid LTC applications, from screening through redetermination.
• Track pending Medicaid applications, resolve deficiencies with the local DHR/Medicaid office, and follow up on eligibility determinations.
• Coordinate with admissions on payer verification and level-of-care conversions.
• Maintain resident trust fund accounts in compliance with regulations.
• Oversee accounts receivable, aging, monthly close, and collections follow-up.
• Manage census reconciliation and ancillary charge posting.
• Supervise business office staff and serve as the facility's financial contact for matters.

Skills

Revenue cycle management

Medicaid billing

Medicare billing

Organizational skills

Excel

Tools

Billing software

Excel

Job description

Business Office Manager

We're seeking an experienced Business Office Manager to oversee the financial and administrative operations of our Alabama skilled nursing facility. This role owns the revenue cycle, resident trust accounting, and payer coordination that keep the facility financially sound and compliant.

What you'll do

• Manage the full revenue cycle: private pay, Medicare, Medicaid, and managed care billing and collections
• Guide residents and families through the Alabama Medicaid long-term care application process, from initial screening through approval and redetermination
• Track pending Medicaid applications, resolve deficiencies with the local DHR/Medicaid office, and follow up on eligibility determinations
• Coordinate with admissions on payer verification and level-of-care conversions
• Maintain resident trust fund accounts in compliance with state and federal regulations
• Oversee accounts receivable, aging reports, monthly close, and collections follow-up
• Manage census reconciliation and ancillary charge posting
• Supervise business office staff and serve as the facility's point of contact for financial matters

What you need

• Working knowledge of the Alabama Medicaid application and eligibility process for long-term care, including required documentation, spend-down, resource limits, and redetermination timelines
• Prior business office experience in a skilled nursing or long-term care setting
• Familiarity with Medicare and Medicaid billing, resident trust accounting, and revenue cycle management
• Strong organizational skills and the ability to work directly with residents, families, and state agencies
• Experience with long-term care billing software and Excel