Business Office Manager

The Overlook at Rowan; Salisbury (NC); On-site; USD 55,000 - 75,000; Full time

Job summary

The Overlook at Rowan in Salisbury, NC is seeking a Business Office Manager to oversee billing, AR follow-up, and collections with a focus on accuracy and compliance. You will coordinate with admissions and leadership to ensure clean payer workflows and trusted resident financial processes.

Ideal candidates bring SNF business office experience, meticulous attention to detail, and strong communication with families and staff to maintain orderly, compliant records.

Qualifications

• Must-haves: SNF business office experience preferred.
• High attention to detail and confidentiality are essential.
• Strong communication and follow-up skills are required.

Responsibilities

• 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.

Skills

AR follow-up

Billing support

Collections coordination

Attention to detail

Communication

Confidentiality

Education

SNF business office experience

High school diploma or equivalent

Tools

EMR billing systems

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