Business Office Manager

Monarch; Duluth, Northern (MN, KY); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Next-day pay

Free medical insurance

Loan reimbursement

Scholarship opportunities

Paid time off

401(k) match

Referral bonuses

Career growth path

Job summary

Monarch Healthcare Management seeks a Business Office Manager to lead revenue cycle processes, billing, and financial reporting across its Minnesota facilities.

You will manage accounts payable, receivable, and data systems while ensuring compliance with regulatory requirements and professional accounting practices.

Qualifications

• Experience in healthcare business office or billing is preferred.
• Strong knowledge of accounts receivable, billing, and basic accounting.
• Excellent written and verbal communication to interact with staff and management.
• Background checks per Minnesota DHS guidelines may be required.

Responsibilities

• Oversee accounts receivable and cash collections with accurate billing and posting.
• Support Medical Assistance billing; respond to denials and reconcile invoices.
• Manage accounts payable and maintain general ledger records and regulatory compliance.
• Analyze financial data, monitor department goals, and drive process improvements.
• Hire, train, and supervise office staff; support workflow efficiency.
• Ensure resident privacy, quality improvement, and strong customer service culture.

Skills

Accounts receivable

Billing

Healthcare admin

Communication

Education

Associate degree or higher

Tools

DSSI

Accounting software

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.