Business Office Manager (BOM)

EMY Healthcare; South Sioux City (NE); On-site; USD 60,000 - 65,000; Full time

Benefits offered by this job

Health, Dental, Vision and Life

401(k) with Company Match

Paid Time Off (PTO)

Employee Assistance Program (EAP)

Career Advancement Opportunities

Supportive Team Environment

Job summary

Continental Springs is seeking a detail-oriented Business Office Manager to oversee the business office and support HR functions. You will manage resident accounts, handle billing with Medicare/Medicaid, and ensure compliance with policies while coordinating recruitment and onboarding for facility staff.

This is a full-time, daytime role (9AM–5PM) with opportunities for career advancement and a collaborative team environment. Strong organizational and communication skills are essential.

Qualifications

• Experience in a Business Office Manager, healthcare billing, or similar administrative role.
• Long-term care or skilled nursing experience preferred.
• Human Resources experience required.
• Knowledge of Medicare, Medicaid, Managed Care, insurance billing.
• Strong organizational and communication skills.

Responsibilities

• Oversee resident accounts and business office operations.
• Handle collections and accounts receivable with timely follow-up.
• Coordinate billing for Medicare, Medicaid, Managed Care, and Private Pay.
• Maintain Medicaid Pending cases and follow up for reimbursement.
• Manage resident trust accounts and financial documentation.
• Assist with recruitment, onboarding, and employee records.
• Support benefits, policies, and employment procedures.

Skills

Billing & AR management

Medicare/Medicaid knowledge

HR practices and onboarding

Employee records

Microsoft Office / Excel

Communication skills

Organizational skills

Tools

Microsoft Office

Excel

Job description

Continental Springs is actively hiring a Business Office Manager to oversee business office operations while also supporting the facility's human resources functions. The Business Office Manager plays a critical role in maintaining accurate resident accounts, supporting billing and collections, and ensuring effective financial operations. In addition, the Business Office Manager will assist with recruitment, onboarding, employee records, and day-to-day human resources needs. This is an excellent opportunity for an organized, detail-oriented professional who enjoys working across both business and people-focused functions.

What We Offer

Compensation: $60 000 - $65 000 per year

Benefits

• Health, Dental, Vision and Life Insurance
• 401(k) with Company Match
• Paid Time Off (PTO)
• Employee Assistance Program (EAP)
• Career Advancement Opportunities
• Supportive Team Environment

Schedule and Employment Type

• Full-Time Days (9AM - 5PM)

Key Responsibilities

Business Office Responsibilities

• Manage resident accounts and business office operations as the Business Office Manager
• Handle collections and accounts receivable, ensuring timely follow-up on outstanding balances
• Coordinate billing and payment processes including Medicare, Medicaid, Managed Care, and Private Pay
• Maintain and track Medicaid Pending cases and follow up for approval and reimbursement
• Manage resident trust accounts, including accurate tracking, deposits, and disbursements
• Work closely with the Central Billing Office to resolve claims, denials, and payment issues
• Maintain accurate financial records, census data, and required reports
• Assist residents and families with billing questions, statements, and financial documentation
• Ensure compliance with all federal, state, and facility financial policies and procedures

Human Resources Responsibilities

• Support recruitment, interviewing, and hiring for facility positions
• Coordinate the new hire onboarding process, including paperwork, orientation, and required documentation
• Maintain accurate and confidential employee records and human resources documentation
• Coordinate reference checks, background screenings, and pre-employment requirements
• Assist employees with questions regarding benefits, compensation, policies, and employment procedures
• Support employee relations by responding to employee questions and escalating concerns when appropriate
• Assist with maintaining compliance with federal, state, and local employment requirements
• Partner with department leaders regarding staffing needs, open positions, and workforce planning
• Assist with employee engagement, training, safety, and retention initiatives
• Maintain confidentiality of sensitive employee and business information
• Perform other business office and human resources duties as assigned

Qualifications

• Previous experience in a Business Office Manager, healthcare billing, or similar administrative role preferred
• Long-term care or skilled nursing experience preferred
• Previous Human Resources experience required
• Strong knowledge of Medicare, Medicaid, Managed Care, insurance billing, and Medicaid Pending processes preferred
• Experience with collections and accounts receivable preferred
• Experience with resident trust accounts preferred
• Knowledge of HR practices, employee records, onboarding, and employment compliance preferred
• Strong organizational, communication, and problem-solving skills
• Proficiency with Microsoft Office, including Excel, and experience with healthcare or HR information systems preferred
• Ability to handle confidential financial and employee information with professionalism and discretion
• Ability to manage multiple priorities in a fast-paced healthcare environment
• Strong attention to detail and follow-through