Business Office Manager (BOM)

Twilighthc; Huron, Northern (OH, KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Twilight Gardens in Norwalk, OH, seeks a capable Business Office Manager to lead the financial and administrative operations of our skilled nursing facility.

This role requires long-term care and insurance verification/billing experience, with responsibilities including resident billing, AR, month‑end reporting, and close collaboration with facility leadership and corporate teams to ensure smooth operations.

Qualifications

• Long-Term Care experience is required.
• Insurance verification and billing experience required.
• 2–3 years in a BOM/Director role in skilled nursing preferred.
• Knowledge of Medicare, Medicaid, and commercial insurance.
• Strong organizational skills with attention to detail.
• Excellent communication and leadership abilities.
• Ability to work with residents, families, staff, and payers.
• Proficient with Word and Excel.

Responsibilities

• Manage resident billing, accounts receivable, and collections.
• Complete insurance verification and assist with billing processes.
• Maintain accurate resident financial records and accounts.
• Manage resident trust accounts.
• Complete month-end reporting and account reconciliations.
• Work with Medicare, Medicaid, and commercial payers.
• Communicate professionally with residents and families about billing.
• Maintain documentation and business office records.
• Implement and administer company programs, policies, and procedures.
• Collaborate with facility leadership and corporate departments.

Skills

Long-Term Care experience

Insurance verification

Billing experience

Medicare/Medicaid knowledge

Microsoft Word

Leadership

Communication skills

Tools

Microsoft Word

Microsoft Excel

Job description

Business Office Manager (BOM)

Twilight Gardens – Norwalk, OH
Full-Time

Twilight Gardens, located in Norwalk, OH, is seeking an energetic, responsible, and motivated professional to join our leadership team as our Business Office Manager (BOM).

This position requires Long-Term Care experience and insurance verification/billing experience.

The Business Office Manager plays a key role in the financial and administrative operations of our skilled nursing facility, working closely with residents, families, facility leadership, government agencies, insurance companies, and corporate support teams.

Key Responsibilities:

• Manage resident billing, accounts receivable, and collections

• Complete insurance verification and assist with billing processes

• Maintain accurate resident financial records and accounts

• Manage resident trust accounts

• Complete month-end reporting and account reconciliation

• Work with Medicare, Medicaid, and commercial insurance payers

• Communicate professionally with residents and families regarding billing and account questions

• Maintain accurate documentation and business office records

• Implement and consistently administer company programs, policies, and procedures

• Collaborate with facility leadership and corporate departments to support smooth business operations

Required Qualifications:

• Long-Term Care experience required

• Insurance verification and billing experience required

• 2–3 years of Business Office Manager/Director experience in skilled nursing preferred

• Knowledge of Medicare, Medicaid, and commercial insurance

• Strong organizational skills and exceptional attention to detail

• Excellent communication, leadership, and mentoring skills

• Ability to effectively work with residents, families, staff, government agencies, and insurance companies

• Proficiency with Microsoft applications, including Word and Excel

• Ability to manage multiple priorities and meet deadlines

• Ability to implement and consistently administer programs, policies, and procedures

Why Join Twilight Gardens?

At Twilight Gardens, we value the experience and dedication you bring to our team. We offer competitive pay, benefit options, a supportive work environment, and opportunities for professional growth and development.

Join a team where your experience matters and your contributions are valued. Twilight Gardens is proud to be part of a Great Place to Work® Certified organization.

Job Type: Full-Time

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