Business Office Manager (BOM)

River’s Bend Health and Rehab Center; Harrisburg (Dauphin County); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Flexible pay options

Generous PTO

401K program

Employer-paid life insurance

Employee assistance program

Tuition opportunities

Job summary

River’s Bend Health and Rehab Center is seeking a results-driven Business Office Manager to lead revenue cycle operations in our skilled nursing facility. You will supervise daily business office activities, manage census, deposits, cash posting, and private pay collections, and support Medicaid eligibility processes and insurance claims.

The ideal candidate is detail-oriented, highly organized, and collaborative across departments to ensure accurate billing and compliant financial operations.

Qualifications

• High school diploma or equivalent; college coursework in business/healthcare preferred.
• Minimum two years in a long‑term care business office or related healthcare setting.
• Knowledge of Medicare, Medicaid, and managed care payer processes.
• Understanding Medicaid eligibility requirements and application coordination.
• Professional communication with residents, families, staff, and partners.
• Strong organizational and time management skills; ability to multitask in a fast-paced environment.
• Proficiency in Microsoft Office; experience with healthcare billing/electronic systems preferred.

Responsibilities

• Lead revenue cycle operations and ensure accurate financial reporting.
• Oversee census, daily deposits, and cash posting processes.
• Manage private pay collections and resident trust accounts.
• Support billing team with insurance claims submission and billing issue resolution.
• Collaborate with departments to ensure regulatory compliance and operational efficiency.

Skills

Communication skills

Organization

Time management

Team collaboration

Education

High school diploma or equivalent

Some college coursework in business or healthcare administration

Two years experience in long-term care business office

Tools

Microsoft Office (Outlook, Excel)

Healthcare billing systems

EHR systems

Job description

We are seeking a results-driven Business Office Manager to lead revenue cycle operations within our skilled nursing facility. The ideal candidate is detail-oriented, highly organized, and proactive with a strong ability to collaborate across departments to ensure seamless financial operations and optimal revenue cycle performance.

We’ve been recognized by Newsweek and Plant-A Insights Group as one of America’s Most Admired Workplaces for 2026! As an employee recently said, “I feel I have a lot of support. I feel like part of the team.”

Position Summary:

This role is critical to driving cash collections, reducing accounts receivable aging, and ensuring overall financial accuracy and compliance. The Business Office Manager is responsible for overseeing the daily operations of the business office, ensuring adherence to regulatory and company standards. Key responsibilities include managing census, daily deposits and cash posting, private pay collections, resident trust accounts, and Medicaid eligibility processes. This role also partners closely with the billing team to support the accurate and timely submission of insurance claims and resolution of billing issues.

Advantages:

• Flexible Pay Options– ChooseOn-Demand Payand get paidas soon as tomorrowfor work done today or opt for ourWeekly Payschedule!

• Positive, Family-Like Atmosphere– Work in a fun, supportive environment where teamwork and care go hand-in-hand.

• Generous PTO & Benefits– Enjoy a comprehensive benefits package designed to support your well-being and work-life balance.

• Career Growth Opportunities– Take advantage of our Loan and Forgiveness program as well as other educational programs to advance your nursing career.

• Strong, Stable Leadership– Join a team led by experienced managers who are committed tocustomer service excellenceandstaff development.

Benefits and Perks*:

• DAILY Pay!

• Benefit eligibility the first of the month following 30 days

• Comprehensive benefit packages including medical, dental, and vision, and more.Health Savings Account available with employer contribution.

• 401K through Fidelity

• Employer-paid life insurance (FT employees)

• Robust Employee Assistance Program

• Generous Paid Time Off (PTO)

• Educational, leadership, and tuition opportunities

• Various discount programs offered, including discounted childcare programs through KinderCare

• Wellness programs offered through WebMD

• Employee recognition programs

• Culture of employees creating an IMPACT!

Education/Qualifications:

• High school diploma or equivalent required; some college coursework in business, healthcare administration, or a related field preferred

• Must have, as a minimum, two (2) years experience in a long-term care business office or other related healthcare setting

• Working knowledge of health insurance payers, including Medicare, Medicaid, and Managed Care plans

• Understanding of Medicaid eligibility requirements and the application process, including follow-up and documentation coordination

• Ability to communicate professionally and tactfully with residents, families, staff, and external partners

• Strong organizational and time management skills, with the ability to manage multiple priorities in a fast-paced environment

• Proficiency in Microsoft Office applications, including Outlook and Excel; experience with healthcare billing or electronic systems preferred

Shift & Wage:

• Full-Time Opportunity Available

• Shift Needed: Monday - Friday

• Wage: Based on Experience

*Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.