Business Office Manager

Monarchmn; Chisago City (MN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

UKG Wallet - get paid the next day!

Free Single Medical Insurance

Loan reimbursement.

Scholarship Opportunities

Paid Time Off – Vacation Time

401 (k) with annual contribution match

Referral bonuses

Career path to other positions within 

our growing company!

Job summary

Monarch Healthcare Management is seeking a Business Office Manager to lead revenue cycle activities across our Minnesota facilities. You will oversee accounts payable/receivable, billing, records management, data reporting, and ensure accurate information in line with accounting practices and regulatory requirements.

You will supervise and develop the business office staff, drive process improvements, and maintain strong financial controls. Equal opportunity employer.

Qualifications

• Associate degree or higher in accounting, healthcare administration, or business management; or 5+ years healthcare billing experience.
• Knowledge of accounts receivable, billing, insurance, and third‑party billing processes.
• Strong communication skills to work with staff and management; able to follow laws and regulations.
• Must pass background checks per Minnesota DHS guidelines; experience in healthcare settings preferred.

Responsibilities

• Manage Accounts Receivable & Collections, including billing, posting, deposits, and delinquencies.
• Oversee Medical Assistance billing and state invoices; respond to denied claims.
• Process invoices and maintain general ledger knowledge; handle accounts payable inquiries.
• Analyze financial data to support department goals and improve efficiency.
• Hire, train, supervise, and evaluate staff in collaboration with the Administrator.
• Ensure regulatory compliance, protect resident confidentiality, and promote quality service.

Skills

Accounts Receivable

Collections

Billing

Data Management

Financial Analysis

Staff Supervision

Regulatory Compliance

Communication Skills

Internal Controls

Education

Associate degree in accounting / healthcare administration / business management

High school diploma with 5 years healthcare billing experience

Tools

DSSI

Electronic Health Records (EHR)

Job description

Monarch Healthcare Management Benefits Include:

• UKG Wallet - get paid the next day!
• Free Single Medical Insurance
• Loan reimbursement.
• Scholarship Opportunities
• Paid Time Off – Vacation Time
• 401 (k) with annual contribution match
• Referral bonuses
• Career path to other positions within our growing company!

Business Office Manager

Position Summary

The Business Office Manager is primarily responsible for revenue cycle management. This includes but is not limited to accounts payable and receivable, billing, record keeping, data management and information system reports. The Business Office Manager assures accurate and efficient information in accordance with professional accounting practices and government regulations

Responsibilities

• Accounts Receivable & Collections Management Manage private pay and resident liability accounts through accurate billing, payment posting, bank deposits, dispute resolution, delinquency tracking, statement distribution, and coordination with leadership and collections.
• Medical Assistance Billing & Support Assist families with Medical Assistance applications, submit and reconcile monthly state invoices, respond to denied claims, and serve as a knowledgeable resource for families regarding benefits and coverage.
• Accounts Payable & Financial Records Control Process, code, and submit invoices through DSSI; maintain general ledger knowledge; retain financial records per regulatory requirements; and serve as the primary contact for accounts payable inquiries.
• Financial Analysis, Goal Setting & Operational Efficiency Analyze financial data, monitor progress toward departmental goals, identify barriers, implement improvements, and support effective problem-solving to enhance business office performance.
• Staff Supervision, Training & Professional Development Hire, train, supervise, motivate, and evaluate Business Office staff in collaboration with the Administrator while ensuring compliance with organizational policies and procedures.
• Compliance, Customer Service & Professional Conduct Maintain regulatory compliance, resident confidentiality, and accurate records; promote residents’ rights, continuous quality improvement, strong customer service, positive workplace culture, and professional relationships across the facility.

Qualifications

• Education & Healthcare Business Experience Associate degree in accounting, healthcare administration, or business management preferred—or high school diploma with at least five years of healthcare-related business office or billing experience.
• Technical & Financial Knowledge Demonstrated knowledge of accounts receivable, basic accounting practices, insurance and third-party billing, and computerized office systems.
• Communication & Functional Ability Strong verbal and written communication skills to effectively work with staff, coworkers, and upper management; ability to perform essential job functions with or without reasonable accommodation.
• Regulatory Eligibility & Preferred Background Must pass required background checks per Minnesota DHS guidelines, healthcare, skilled nursing, or assisted living experience preferred.

About Monarch

Monarch Healthcare Management is a mission-driven company that is changing the way short-term rehabilitation and long-term care are delivered. Our employees embody our motto, Where CARE and CUSTOMER SERVICE Come Together, by always putting the needs of residents and families first across Monarch's network of 60+ skilled nursing and assisted living facilities in Minnesota.

Partnering with higher research institutes and international tech companies, Monarch has been nationally recognized for its innovation in the care of our residents, making a meaningful impact on their quality of life and interactions.

We value our employees and work hard to attract and retain the best talent by offering a positive and supportive work environment along with competitive pay, fun perks, career development opportunities, and great benefits.

We are an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.