Business Office Manager

August Healthcare; Richmond (VA); On-site; USD 55,000 - 75,000; Full time

Job summary

August Healthcare is seeking an experienced Business Office Manager to oversee the facility's financial and administrative operations, including billing, collections, and compliance.

The BOM will manage Medicaid applications, recertifications, and payer communications, ensuring accurate documentation and confidentiality in a fast-paced healthcare environment.

Qualifications

• High school diploma or GED required.
• Healthcare business office experience preferred.
• Knowledge of Medicaid processes and long-term care billing strongly preferred.
• Strong organizational, communication, and follow-up skills.
• Proficiency with computer systems including Excel and Word.
• Ability to work independently while managing multiple priorities.
• Professional, resident-focused, and solutions-oriented mindset.

Responsibilities

• Oversee all business office operations including billing, collections, and accounts receivable
• Manage Medicaid applications, recertifications, and ongoing case follow-up
• Meet with residents and families to explain financial obligations and payer sources
• Ensure timely and accurate submission of billing and supporting documentation
• Maintain resident trust accounts and financial records
• Coordinate with corporate billing partners and caseworkers
• Monitor census, payer mix, and private pay collections
• Ensure compliance with federal, state, and facility policies
• Maintain confidentiality and HIPAA compliance at all times
• Collaborate closely with Administration and department leaders

Skills

Organizational skills

Communication

Follow-up capability

Billing processes knowledge

Healthcare office experience

Independence

Education

High school diploma or GED

Tools

Excel

Word

Job description

Business Office Manager (BOM)

Full-Time | Day Shift

We are seeking an experienced and detail-driven Business Office Manager (BOM) to oversee the financial and administrative operations of our facility. This role is critical to ensuring accurate billing, strong cash flow, regulatory compliance, and positive relationships with residents and families.

If you are organized, accountable, and thrive in a fast-paced healthcare environment, this is an opportunity to make a real operational impact.

Responsibilities

• Oversee all business office operations including billing, collections, and accounts receivable
• Manage Medicaid applications, recertifications, and ongoing case follow-up
• Meet with residents and families to explain financial obligations and payer sources
• Ensure timely and accurate submission of billing and supporting documentation
• Maintain resident trust accounts and financial records
• Coordinate with corporate billing partners and caseworkers
• Monitor census, payer mix, and private pay collections
• Ensure compliance with federal, state, and facility policies
• Maintain confidentiality and HIPAA compliance at all times
• Collaborate closely with Administration and department leaders

Qualifications

• High school diploma or GED required
• Healthcare business office experience preferred
• Knowledge of Medicaid processes and long-term care billing strongly preferred
• Strong organizational, communication, and follow-up skills
• Proficiency with computer systems including Excel and Word
• Ability to work independently while managing multiple priorities
• Professional, resident-focused, and solutions-oriented mindset

Physical Requirements

• Office and facility-based work throughout the day
• Sitting, standing, and walking as needed
• Ability to handle files, records, and routine office equipment

Reasonable accommodations may be provided.

Why Join Us

• Leadership role with meaningful responsibility
• Supportive administration and corporate partnership
• Opportunity to influence financial stability and resident experience
• Purpose-driven work in a healthcare environment