Business Office Manager (Long Term Care)

Olney Rehabilitation and Care Center; Olney (TX); On-site; USD 52,000 - 72,000; Full time

Job summary

Olney Rehabilitation and Care Center is seeking a dedicated Business Office Manager to oversee all financial and administrative operations of the long-term care facility. Responsibilities include billing, collections, payroll, A/R, and resident trust accounts, with a focus on compliance and customer service.

The role requires strong organizational and communication skills, knowledge of Medicare/Medicaid billing, and experience in a healthcare business office environment.

Qualifications

• Minimum 2 years of business office experience in healthcare or long-term care.
• Knowledge of Medicare/Medicaid and third-party billing.
• Proficient in MS Office and electronic billing systems.

Responsibilities

• Oversee daily business office operations for financial and administrative functions.
• Coordinate billing for Medicare, Medicaid, private pay, and third-party payers.
• Monitor resident accounts, statements, collections, and payment plans.
• Maintain census records and ensure billing accuracy with clinical teams.
• Process A/P and ensure timely vendor payments.
• Administer and reconcile resident trust accounts per regulations.
• Serve as primary contact for residents and families on financial inquiries.
• Prepare reports for corporate and regulatory bodies.
• Train and supervise business office staff; support audits and compliance.

Skills

Billing & Collections

Accounts Receivable

HIPAA Compliance

Microsoft Office

Healthcare Administration

Education

Associate or Bachelor's in Accounting or Business

Tools

PointClickCare

MatrixCare

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