Business Office Manager (BOM)

SLP Operations; Abilene (TX); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Next Day Pay

Medical, Dental, Vision, Free Life

Paid Time Off

Holiday Pay

And More

Job summary

SLP Operations is seeking a Business Office Manager to oversee all Business Office functions in a long‑term care facility environment. You will manage accounts receivable/payable, HR, payroll, patient trust accounts, and related duties under supervision.

The role requires knowledge of Medicare billing, regulatory guidelines, and strong MS Office skills. The position may involve evenings or irregular hours and emphasizes HIPAA compliance and teamwork.

Qualifications

• Experience with long‑term care revenue cycle is a plus.
• Ability to maintain HIPAA and confidentiality standards.
• Proficiency with Microsoft Office suite and EMR systems.

Responsibilities

• Assist admissions by explaining benefits; ensure EMR entry and required docs are complete.
• Maintain census and revenue data in EMR; communicate changes.
• Oversee payments, deposits, and monthly cash reconciliations.
• Perform billing and collections; issue statements and letters; handle refunds per state rules.
• Maintain resident trust funds; process deposits/withdrawals; ensure compliance.
• Maintain HRIS records; manage timekeeping, payroll; process terminations within 24h.
• Conduct new hire orientation and onboarding; manage EANs and docs.
• Support recruitment by posting ads, attending job fairs, scheduling interviews.
• Keep electronic records compliant with confidentiality incl. HIPAA.
• Perform other duties.

Skills

MS Office proficiency

EMR familiarity

Regulatory compliance

Education

Tools

Microsoft Word

Excel

Outlook

SharePoint

Teams

Adobe

Job description

The Business Office Manager (BOM) is responsible for directing and overseeing all Business Office functions in compliance with applicable federal, state, and local standards, guidelines, and regulations, as directed by the Administrator and Accounts Receivable/Human Resources support teams. The BOM manages accounts receivable, accounts payable, human resources, payroll, patient trust accounts, and performs other duties as assigned.

Benefits Include

• Next Day Pay
• Medical, Dental, Vision, Free Life Insurance
• Paid Time Off
• Holiday Pay
• And More

Salary negotiable - dependent on experience.

Essential Duties And Responsibilities

• Participate in the admissions process by communicating benefits and coverage information to residents and/or responsible parties; ensure new admissions are accurately entered into the EMR, required documents are uploaded, admission packets are completed timely, and admission payments are collected.
• Manage census and revenue by maintaining accurate census and payor information in the EMR, verifying and uploading required documentation, and communicating changes to appropriate departments.
• Oversee payment and cash management, including daily deposit posting, daily credit card processing, monthly cash reconciliations, and ensuring all deposit documentation is properly uploaded and maintained.
• Perform billing and collections functions, ensuring financially responsible party and provider information is current in the EMR; generate and distribute statements and collection letters timely; submit refund requests, IMEs, and write-off requests in accordance with state guidelines.
• Maintain accurate resident trust fund accounts by processing daily deposits, withdrawals, and refunds; issuing refunds and resident statements timely; uploading all required trust documentation; and ensuring compliance with all applicable state and federal regulations.
• Maintain accurate HRIS records by processing new hires, terminations, and status changes; manage timekeeping, labor, and payroll processes; ensure timely payroll submission; and enter all team member terminations into the HRIS within 24 hours.
• Conduct new hire orientation, employee benefit education, and onboarding; process EANs with all required supporting documentation; and ensure all pre‑employment, background, onboarding, employment, and verification documents are properly maintained in both hard-copy personnel files and the HRIS database.
• Support recruitment and interviewing efforts by posting employment advertisements, coordinating and participating in job fairs and recruiting events, and scheduling candidate interviews.
• Maintain accurate electronic records for residents and team members in compliance with all applicable federal, state, and local confidentiality requirements, including HIPAA.
• Perform other duties as assigned.

Requirements

• Minimum of two (2) years of experience in long‑term care (LTC) or skilled nursing facility (SNF) revenue cycle management.
• Basic knowledge of resident trust fund processes and applicable regulatory guidelines.
• Experience with Medicare billing and reimbursement processes.
• Proficient in Microsoft Office applications, including Word, Excel, Outlook, SharePoint, Teams, and Adobe.
• Must be able to interact positively with residents, families, and regulatory agencies, and work collaboratively with employees at all levels.
• Must be able to maintain consistent attendance and be willing to work long or irregular hours, often under pressure.
• Must comply with all local health regulations and successfully complete a post‑offer health assessment.
• Must be able to perform the essential functions of the position with or without reasonable accommodation.
• Physical and Sensory Requirements (with or without the use of mechanical devices):
• Ability to read, write, and speak fluent English to communicate effectively with residents, families, staff, and community agencies.
• Ability to perform physical activities such as walking, reaching, bending, stretching, pulling, and lifting.
• Adequate fine and gross motor coordination to carry out required tasks.

Work Environment

• Long‑term care facility setting.
• Exposure to residents with varying levels of care needs.
• May include evenings, weekends, holidays, and on‑call shifts.

Core Competencies

• Resident‑centered care
• Professionalism and ethical conduct
• Team collaboration
• Problem‑solving
• Cultural sensitivity and respect

Employer Statement

The facility is an equal opportunity employer. Duties and responsibilities may change based on business needs.