Business Office Manager

Ascent Healthcare Management; Salisbury (NC); On-site; USD 45,000 - 65,000; Full time

Job summary

Ascent Healthcare Management in Salisbury, NC is seeking a Business Office Manager to bring accuracy and calm control to financial operations in a skilled nursing facility.

You will own AR follow-up, resident billing, audits, and start-to-finish payer workflows, partnering with admissions and leadership to ensure clean records and compliant processes.

This role demands high attention to detail, strict confidentiality, and clear communication to families and staff.

Qualifications

• Experience with SNF business office operations and billing processes.
• Ability to maintain confidentiality and handle sensitive information.
• Strong verbal and written communication with diligent follow-up.

Responsibilities

• Manage billing support, trust accounts, collections coordination, and audits.
• Ensure resident financial processes are compliant and clear.
• Collaborate with admissions and leadership to keep payer workflows clean.

Skills

Attention to detail

Confidentiality

Communication

Follow-up

Job description

Business Office Manager (BOM)

We need accuracy, ethics, and calm control—no financial chaos.

Revenue Accountability: Own AR follow-up and collections with a “leave no dollar behind” mindset. We pursue every appropriate payer/resident balance until resolved—documented, timely, and compliant.

Cash Discipline: Maintain clean, current AR through daily follow-up, accurate billing support, and aggressive but compliant collections. Every dollar is either collected, appealed, or resolved through an approved process—fully documented.

Treat facility receivables like it’s your own business. If it’s collectible, we collect it. If it’s not, we prove it—then resolve it through policy.

You will:

• Manage billing support, trust accounts, collections coordination, and audits

• Ensure resident financial processes are compliant and clear

• Partner with admissions and leadership for clean payer workflows

Success looks like:

• Clean records, minimal errors, families informed, processes followed

Must-haves:

• SNF business office experience preferred

• High attention to detail + confidentiality

• Strong communication and follow-up