Business Office Manager (Long Term Care)

Olney Rehabilitation and Care Center; Olney (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Olney Rehabilitation and Care Center is seeking an experienced Business Office Manager to oversee all financial and administrative functions in a long-term care setting. You will manage billing, collections, payroll, accounts payable/receivable, and resident trust accounts while ensuring HIPAA compliance and excellent service to residents and families.

The role requires strong organizational skills, healthcare billing knowledge, and proactive collaboration with admissions and clinical teams.

Qualifications

• Oversee business office operations with accuracy and efficiency.
• Experience handling Medicare/Medicaid billing processes.
• Strong communication and interpersonal skills in a healthcare setting.
• Responsible for payroll processing and employee records.
• Reconcile accounts payable/receivable and maintain vendor relations.
• Manage resident trust accounts in compliance with regulations.

Responsibilities

• Coordinate billing for Medicare, Medicaid, private pay, and third-party payers.
• Monitor resident accounts, monthly statements, collections, and payment arrangements.
• Maintain census records and ensure billing alignment with admissions and clinical teams.
• Process accounts payable and ensure timely payments to vendors.
• Administer and reconcile resident trust accounts per regulatory requirements.
• Train and supervise business office staff and support audits and surveys.

Skills

Billing management

Medicare/Medicaid billing

Communication skills

Payroll

Account reconciliation

Office administration

Education

High school diploma or equivalent

Associate or Bachelor's in Accounting or Business Administration

Tools

PointClickCare or MatrixCare

Microsoft Office

Job description

Olney Rehabilitation and Care Center is seeking a dedicated and experienced Business Office Manager. The Business Office Manager (BOM) is responsible for overseeing all business operations of the Long Term Care facility, including billing, collections, payroll, accounts payable/receivable, and resident trust accounts. The BOM ensures compliance with federal, state, and facility policies while providing excellent customer service to residents, families, and staff.

Key Responsibilities:

• Manage the day-to-day operations of the business office, ensuring accuracy and efficiency in financial and administrative functions.
• Coordinate billing for Medicare, Medicaid, private pay, and third-party insurance payers.
• Monitor and manage resident accounts, including monthly statements, collections, and payment arrangements.
• Maintain accurate census records and collaborate with admissions and clinical teams to ensure billing accuracy.
• Process accounts payable and ensure timely payments to vendors.
• Administer and reconcile resident trust accounts in accordance with regulatory requirements.
• Serve as the primary contact for financial inquiries from residents and their families.
• Prepare and submit required reports to corporate office and regulatory agencies.
• Train, supervise, and support business office staff (if applicable).
• Participate in audits and assist with survey preparedness related to financial operations.
• Protect resident confidentiality and handle all financial data with integrity and discretion.
• Other duties as assigned

Qualifications:

• High school diploma or equivalent required; Associate or Bachelor’s degree in Accounting, Business Administration, or related field preferred.
• Minimum of 2 years of business office experience, preferably in a healthcare or long-term care setting.
• Knowledge of Medicare, Medicaid, and third-party insurance billing processes.
• Proficiency in Microsoft Office Suite and electronic billing systems (e.g., PointClickCare or MatrixCare preferred).
• Strong organizational, communication, and interpersonal skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Understanding of HIPAA and financial compliance regulations in healthcare.

Work Environment:

This position operates in a professional office environment within a healthcare facility. Occasional lifting of files or office supplies may be required. Regular interaction with residents, families, and interdisciplinary staff teams is expected.

Equal Opportunity Employer