Business Office Manager - Skilled Nursing Facility

PACS Group; Beavercreek (OH); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health benefits

Paid time off

401(k)

Employee stock purchase program

On-site leadership role

Meaningful difference

Job summary

PACS Group in Beavercreek, OH is seeking a Business Office Manager to oversee billing, reimbursement, and accounts receivable for our skilled nursing facility. You will work with residents and families to explain Medicare/Medicaid coverage, private insurance, and pending applications, while ensuring accurate documentation and financial records.

The role requires experience with RFMS and PCC, strong communication, and the ability to manage multiple deadlines in a compassionate, team-based

Qualifications

• RFMS and PCC experience in billing for skilled nursing.
• Medicaid pending applications and follow-up.
• Medicare/Medicaid coverage and private insurance experience.
• NOMNC processes, bank reconciliations, and Accounts Payable processes.

Responsibilities

• Oversee RFMS processes and reimbursement functions.
• Track Medicaid pending applications and follow up as needed.
• Manage private pay accounts receivable and collections.
• Explain Medicare/Medicaid coverage and payment options to residents and families.
• Prepare NOMNCs (Notices of Medicare Non-Coverage) as required.
• Perform bank reconciliations and support Accounts Payable.

Skills

Communication

Customer service

Organization

Time management

Attention to detail

Problem solving

Education

High school diploma or equivalent

Tools

RFMS

PointClickCare (PCC)

Microsoft products

Job description

What You'll Be Responsible For

The Business Office Manager will oversee a variety of financial and reimbursement functions, including:

• Managing RFMS processes and requirements
• Completing and tracking Medicaid pending applications
• Managing private pay accounts receivable
• Following up on outstanding balances and performing collections
• Meeting with residents and families to explain:Medicare coverageMedicaid coverage and pending applicationsPrivate insurance coverageHospice coveragePrivate pay responsibilitiesChanges in coverage and financial responsibility
• Preparing and managing NOMNCs (Notices of Medicare Non-Coverage) as required
• Completing bank reconciliations
• Serving as backup for Accounts Payable
• Monitoring resident accounts and identifying issues requiring follow-up
• Communicating with insurance companies, hospice providers, residents, responsible parties, and other payors
• Maintaining accurate documentation and financial records
• Partnering with facility leadership and the interdisciplinary team regarding financial and coverage concerns
• Assisting residents and families through the Medicaid process and following applications through determination
• Helping ensure business office processes meet company, payer, and regulatory requirements
• Performing additional business office responsibilities as needed

What We're Looking For

Qualified candidates should have previous business office, billing, reimbursement, or accounts receivable experience in a skilled nursing or long-term care setting.

Experience should include:

• RFMS
• PointClickCare (PCC)
• Medicaid pending applications and follow-up
• Medicare and Medicaid coverage
• Private insurance coverage
• Hospice billing and coverage
• Private pay accounts receivable
• Collections
• NOMNC processes
• Bank reconciliation
• Accounts Payable processes
• Resident and family financial communication

The Right Person for This Role

Technical knowledge is important, but so is the ability to work with people.

Residents and families are often trying to understand complicated insurance, Medicare, Medicaid, and payment requirements during an already stressful time. Our Business Office Manager must be able to explain this information clearly, patiently, professionally, and compassionately.

The successful candidate will be someone who:

• Communicates confidently and professionally
• Provides excellent customer service
• Is comfortable discussing financial obligations and outstanding balances
• Can explain complicated coverage information in understandable language
• Follows through and keeps commitments
• Is highly organized and detail-oriented
• Can manage multiple deadlines and priorities
• Takes ownership of problems and works toward solutions
• Works well independently while also being part of an interdisciplinary team
• Maintains professionalism and confidentiality
• Is helpful, responsive, and respectful when working with residents, families, employees, and outside partners

Schedule

This is a full-time, salaried, on-site position.

Because healthcare does not operate on a traditional Monday-through-Friday schedule, the Business Office Manager must have the flexibility to work occasional evenings and weekends when facility needs require it.

Benefits

We offer a competitive compensation and benefits package, including:

• Health benefits
• Paid time off
• 401(k)
• Employee Stock Purchase Program
• A stable, on-site leadership role
• The opportunity to make a meaningful difference for residents and families

Why This Role Matters

A strong Business Office Manager does much more than manage accounts.

You help residents and families understand their options. You help protect the financial health of the facility. You make sure applications, billing, collections, coverage changes, and financial documentation continue moving forward. And you become a trusted resource for both families and the facility team.

If you have strong skilled nursing business office experience , understand the reimbursement process, and enjoy helping people navigate complicated financial and insurance situations, we would like to hear from you.

Qualification

Education and/or Experience

High school diploma or equivalent.

Strong understanding of skilled nursing billing and payment as well as proficient in Microsoft products computer skills.

Must have previous experience in a long-term care or other healthcare facility.

Language Skills

Ability to read technical procedures.

Ability to read and comprehend policy and procedure manuals.

Ability to effectively present information and respond to questions from managers and employees.

Reasoning Ability

Ability to solve practical problems.

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills

Knowledge and experience with RFMS, PCC, Microsoft preferred.

Physical Demands

The essential functions of this position require the following physical abilities: Prolong use of computer. Standing and /or walking