Business Office Manager (BOM)

Smith Mountain Lake Health & Rehab Center; Moneta (VA); On-site; USD 39,000 - 44,000; Full time

Benefits offered by this job

On-Demand Pay

Weekly Pay

Generous PTO & Benefits

Career Growth Opportunities

401K Fidelity

Life Insurance

Employee Assistance Program

Discount programs

Wellness programs

Employee recognition programs

Job summary

Smith Mountain Lake Health & Rehab Center is seeking a results-driven Business Office Manager to lead revenue cycle operations in our skilled nursing facility. The role focuses on cash flow, AR aging reduction, and accurate billing collaboration with the team.

The ideal candidate will be detail-oriented, highly organized, and proactive, ensuring compliant operations and excellent service across departments while supporting Medicaid eligibility and insurance claim submissions.

Qualifications

• High school diploma or equivalent required; some college coursework in business or healthcare administration preferred.
• Minimum two years in a long-term care business office or related healthcare setting.
• Working knowledge of health insurance payers (Medicare/Medicaid/Managed Care) and Medicaid eligibility.
• Strong communication, organization, and multitasking skills in a fast-paced environment.

Responsibilities

• Oversee daily business office operations, including census, deposits, and cash posting.
• Manage private pay collections, resident trust accounts, and Medicaid eligibility processes.
• Collaborate with billing team to ensure timely submission of insurance claims and resolve billing issues.
• Maintain regulatory compliance and professional communication with residents, families, and partners.

Skills

Communication skills

Organizational skills

Time management

Team collaboration

Education

High school diploma or equivalent

Some college coursework in business or healthcare administration

Tools

Microsoft Office (Outlook, Excel)

Healthcare billing software

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 – Choose On-Demand Pay and get paid as soon as tomorrow for work done today or opt for our Weekly Pay schedule!
• 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 to customer service excellence and staff development.
• Brand new construction, 90-bed facility!
• Located conveniently in the Smith Mountain Lake community!

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
• Previous experience in skilled nursing/long-term care preferred.

Shift & Wage:

• Full-Time Opportunity Available
• Shift Needed: Days
• Wage: $28.00 - $32.00 per hour

*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.