Business Office Manager

LionStone Care; Cincinnati (OH); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health benefits (Medical, Dental & Vis

401(k) with company match

Early Pay via Tapcheck!

Employee Perks & Discount program

PTO + Company Holidays + Floating

Referral Bonus Program

Mentorship Programs

Internal/Upskilling Growth Opportunit

Continued Education Loan Repayment

Job summary

LionStone Care is seeking a skilled Business Office Manager to oversee administrative, financial, and clerical functions in a healthcare facility. You will manage billing, accounts payable/receivable, payroll, and financial reporting, ensuring compliance with regulations and accurate records while coordinating with residents, families, and staff.

This role requires a Bachelor’s degree and 3–5 years of healthcare office leadership, strong budgeting, software proficiency, and excellent

Qualifications

• Bachelor’s degree in Business Administration, Accounting, Healthcare Administration, or related field required.
• 3–5 years of experience in healthcare business office management with emphasis on financial management, billing, and A/R/expenses.
• Strong communication, leadership, and regulatory knowledge are essential.

Responsibilities

• Oversee billing and invoicing workflows and ensure timely collections and accurate records.
• Manage accounts payable/receivable, payroll, and financial reporting to leadership.
• Coordinate with HR on benefits administration and payroll compliance.
• Supervise office staff and maintain organized resident and financial files.
• Ensure compliance with healthcare regulations and audit readiness.
• Provide exceptional service to residents and families on financial matters.

Skills

Financial management

Budgeting

Reporting

Communication skills

Leadership

Team management

Healthcare billing knowledge

Education

Bachelor’s degree in Business Administration or related field

Tools

Accounting software

Billing systems

Microsoft Office

Job description

The Business Office Manager is responsible for overseeing and managing the administrative, financial, and clerical functions of a business office in a healthcare, long‑term care, or assisted living facility. The role includes managing billing, accounts payable/receivable, payroll, and financial reporting, while ensuring efficient office operations, compliance with regulatory and organizational policies, and clear communication with residents, families, and staff.

Key Responsibilities

Financial Management

• Oversee the facility’s billing and collection processes, ensuring accurate and timely invoicing for services provided to residents.
• Manage accounts receivable and payable, process payments, and maintain accurate financial records.
• Prepare and submit financial reports, including monthly statements, budgets, and forecasts, for management review.
• Ensure compliance with financial policies, regulations, and standards, maintaining accurate and up‑to‑date financial records.
• Collaborate with department heads and facility leadership on budget management and cost control measures.

Resident Billing and Accounts

• Supervise the preparation and distribution of resident billing statements and address any billing discrepancies.
• Work with residents, families, and responsible parties to resolve billing inquiries, establish payment plans, and explain financial options.
• Ensure timely filing of insurance claims and follow up on pending or denied claims with insurance providers.
• Monitor and track resident account balances, payments, and collections, ensuring accurate records and timely collections.

Payroll and Employee Benefits

• Oversee the payroll process, ensuring accurate and timely payroll for all employees, including benefits administration and deductions.
• Maintain payroll records and ensure compliance with labor laws, tax regulations, and company policies.
• Coordinate with HR to ensure proper administration of employee benefits, including health insurance and retirement plans.

Office Management

• Supervise and manage office staff, including hiring, training, and evaluating the performance of administrative personnel.
• Oversee the organization and maintenance of resident files, financial records, and other essential documents.
• Ensure the business office operates efficiently, maintaining a professional, organized, and well‑functioning environment.
• Order and manage office supplies and equipment to support smooth office operations.

Regulatory Compliance

• Ensure compliance with all federal, state, and local regulations related to financial operations, billing, and insurance claims.
• Prepare for and participate in audits, inspections, and surveys conducted by regulatory agencies.
• Maintain accurate and secure resident financial records, ensuring that all documentation meets regulatory requirements.

Customer Service

• Serve as the point of contact for residents and families regarding financial matters, providing clear explanations of billing and payment processes.
• Respond to inquiries and concerns from residents, families, and staff with professionalism and empathy.
• Collaborate with the nursing and administrative teams to address resident needs and ensure financial processes support high‑quality care.

Qualifications

• Education: Bachelor’s degree in Business Administration, Accounting, Healthcare Administration, or a related field is preferred.
• Experience: Minimum of 3‑5 years of experience in business office management, preferably in healthcare, long‑term care, or assisted living. Experience in financial management, billing, and accounts payable/receivable is required.
• Skills:
  • Strong financial management, budgeting, and reporting skills.
  • Proficiency in accounting software, billing systems, and office management tools (e.g., Microsoft Office).
  • Excellent communication and interpersonal skills, with the ability to handle sensitive financial matters discreetly.
  • Strong leadership and team management abilities.
  • Knowledge of healthcare regulations and insurance billing processes (Medicare, Medicaid, and private insurance).
  • Strong problem‑solving skills and attention to detail.

People‑Centered Rewards

• Health benefits including Medical, Dental & Vision
• 401(k) with company match
• Early Pay via Tapcheck!
• Employee Perks & Discount program
• PTO + Company Holidays + Floating Holidays
• Referral Bonus Program
• Mentorship Programs
• Internal/Upskilling Growth Opportunities
• Continued Education Loan Repayment Program powered by Clasp