Business Office Manager

Apploi; Middle River (MD); On-site; USD 59,000 - 72,000; Full time

Job summary

Oakwood Care Center in Middle River, MD is seeking a detail-oriented Business Office Manager to oversee daily business office operations for a skilled nursing facility. You will manage resident accounts, billing, and financial records with accuracy and discretion, ensuring regulatory compliance.

The role emphasizes collaboration with leadership, residents, families, and outside agencies, requiring strong organizational and communication skills.

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Healthcare office experience preferred.
• Experience with Medicare/Medicaid billing and resident accounts preferred.
• Strong Excel and Office software skills.
• Attention to detail and confidentiality required.
• Ability to communicate clearly with residents, families, and staff.
• Ability to manage multiple priorities and deadlines.
• Ability to work independently and as part of a team.

Responsibilities

• Oversee resident billing, insurance claims, Medicare/Medicaid billing and private-pay accounts.
• Maintain accurate resident financial records and process payments.
• Monitor accounts payable/receivable and maintain documentation.
• Verify coverage and coordinate with departments on payer information.
• Prepare routine financial reports and reconciliations for leadership.
• Maintain compliant, confidential financial records per regulations.
• Communicate billing questions and statements to residents and families.

Skills

Healthcare office ops

Billing & collections

Financial recordkeeping

MS Excel

Attention to detail

Communication

Discretion

Time management

Team collaboration

Education

High school diploma or equivalent

Associate degree preferred

Tools

Excel

Billing software

Microsoft Office

Job description

Business Office Manager

Oakwood Care Center | Middle River, Maryland

Salary: $65,000 annually
Schedule: Full-Time, Monday–Friday, with occasional weekend availability

Position Summary

Oakwood Care Center is seeking an organized, detail-oriented, and dependable Business Office Manager to oversee the daily business office operations of our skilled nursing and long-term care facility. This position is responsible for managing resident accounts, billing, collections, accounts payable and receivable, and financial records while ensuring accuracy, confidentiality, and compliance with applicable regulations and facility policies.

The ideal candidate has experience in healthcare business office operations, strong organizational and communication skills, and the ability to work collaboratively with facility leadership, residents, families, and outside agencies.

Essential Duties and Responsibilities

• Billing and Collections: Oversee resident billing, insurance claims, Medicare and Medicaid billing processes, private-pay accounts, and collection follow-up.

• Resident Accounts: Maintain accurate resident financial records, process payments, research account discrepancies, and communicate with residents and families regarding billing questions.

• Accounts Payable and Receivable: Monitor invoices, process payments, track outstanding balances, and maintain accurate financial documentation.

• Medicare and Medicaid: Assist with verifying coverage, maintaining payer information, tracking authorizations, and resolving billing issues in coordination with appropriate departments.

• Financial Reporting: Prepare routine financial reports, account reconciliations, census-related billing information, and other reports as requested by facility leadership.

• Compliance and Recordkeeping: Maintain organized, confidential financial records and follow applicable federal and Maryland regulations, company policies, and privacy requirements.

• Resident and Family Communication: Provide professional and compassionate assistance with financial questions, account statements, payment arrangements, and required financial documentation.

• Office Management: Oversee daily business office functions, maintain efficient administrative processes, and ensure records are accurate and up to date.

• Team Collaboration: Work closely with the Administrator, Admissions, Social Services, Human Resources, and other departments to support resident admissions, account management, and facility operations.

• Additional Responsibilities: Perform other duties as assigned to support the successful operation of the facility.

Qualifications

• High school diploma or equivalent required; associate degree or relevant college coursework preferred.

• Previous experience in a healthcare business office, skilled nursing facility, long-term care facility, or related healthcare setting preferred.

• Experience with Medicare, Medicaid, insurance billing, collections, and resident accounts strongly preferred.

• Knowledge of accounts payable, accounts receivable, financial recordkeeping, and basic accounting principles.

• Proficiency in Microsoft Office, particularly Excel, and the ability to learn facility financial and billing software.

• Strong attention to detail, organization, problem-solving, and time-management skills.

• Excellent verbal and written communication skills.

• Ability to handle confidential financial and resident information with professionalism and discretion.

• Ability to manage multiple priorities, meet deadlines, and work independently as well as part of a team.

Work Schedule and Compensation

• Full-time position, Monday through Friday.

• Occasional weekend availability may be required based on facility needs.

• Annual salary of $65,000, based on qualifications and experience.

Join Our Team

At Oakwood Care Center, our business office plays an important role in supporting the residents, families, and team members who make our facility a community. We are looking for a dedicated professional who takes pride in accuracy, accountability, customer service, and helping our facility operate efficiently.

Oakwood Care Center is an equal opportunity employer and considers qualified applicants without regard to protected status under applicable law.