Business Office Manager

NuCare Senior Living; Town of Middleton (WI); On-site; USD 65,000 - 75,000; Full time

Job summary

NuCare Senior Living in Middleton, WI is seeking a Business Office Manager to oversee billing, payroll, HR, regulatory compliance, and daily financial operations within the community. You will ensure accurate invoicing, collections, and reporting while supporting leadership.

This onsite role involves partnering with staff, residents’ families, and vendors, maintaining resident trust accounts, handling audits, and ensuring DHS/regulatory compliance.

Qualifications

• Associate’s or Bachelor's degree preferred in business, accounting, or healthcare administration.
• Experience with billing, AR, and payroll processes in a senior living or healthcare setting.
• Familiarity with DHS/regulatory requirements and audits helpful.

Responsibilities

• Oversee resident billing, invoicing, collections, and reconciliation.
• Coordinate payroll submissions and maintain personnel files in compliance.
• Manage vendor invoices, contracts, and payments; support budgeting and reporting.
• Ensure regulatory compliance and assist with surveys and audits.

Skills

Billing

Payroll

AR management

Organization

Communication

Education

Associate’s or Bachelor's degree in Business/Accounting/Healthcare Admin

Tools

Senior living software / EHR

Job description

# Business Office ManagerHatties Bay Middleton - Middleton, WI 53562Start Date 10/11/2026End Date 10/31/2026## OverviewSalary Range$65,000.00 - $75,000.00 SalaryLevelExperiencedPosition TypeFull TimeJob ShiftDay## DescriptionPosition SummaryThe Business Office Manager (BOM) is responsible for overseeing the financial, administrative, and human resource functions of the community. This role ensures accurate billing, payroll coordination, regulatory compliance, and efficient business operations while supporting leadership and maintaining a high standard of professionalism.Key Responsibilities:Financial Management* Manage resident billing, including private pay, long-term care insurance, and other payer sources (MCO)* Ensure accurate and timely invoicing, collections, and account reconciliation* Monitor accounts receivable and follow up on outstanding balances* Maintain resident trust accounts and ensure proper documentation and reconciliation* Assist with budgeting, expense tracking, and financial reporting* Assist with invoice paying, reconciliations as neededPayroll & HR Coordination* Process or coordinate payroll submissions, ensuring accuracy of hours, PTO, and overtime* Maintain employee personnel files in compliance with state and company requirements* Support onboarding, orientation, and offboarding processes* Assist with conducting background checks in accordance with regulatory and company requirements* Track and ensure compliance with background checks, training, and certificationsAdministrative Operations* Serve as the primary point of contact for office operations and administrative support* Maintain organized and compliant records for residents and staff* Support leadership with reporting, audits, and operational tracking* Coordinate vendor invoices, contracts, and paymentsCompliance & Regulatory Support* Ensure compliance with state regulations (DHS 83, 89 as needed) related to financial and administrative functions* Maintain documentation required for surveys and audits* Assist leadership in preparing for and responding to regulatory reviewsCustomer Service & Communication* Serve as a resource for residents and families regarding billing questions and financial matters* Communicate professionally and promptly with internal teams, vendors, and external partners* Maintain confidentiality of all resident and employee information## QualificationsQualifications* Associate’s or Bachelor’s degree in Business, Accounting, Healthcare Administration, or related field preferred* Minimum 2–3 years of experience in business office, billing, or administrative operations (senior living or healthcare preferred)* Strong understanding of accounts receivable, billing, and payroll processes* Experience with senior living software/EHR systems preferredSkills & Competencies* High level of organization and attention to detail* Ability to manage multiple priorities in a fast-paced environment* Strong communication and problem-solving skills* Professional, accountable, and able to work independently* High level of discretion with sensitive financial and personnel informationWork Environment* Primarily onsite within a senior living community* Frequent interaction with staff, residents, families, and leadership* May require occasional flexibility based on operational needsPosition ExpectationsThis role is critical to the overall success of the community. The Business Office Manager is expected to:* Maintain accuracy, compliance, and accountability in all financial and administrative functions* Support leadership in driving operational efficiency* Ensure business operations run smoothly and without disruption