Business Office Manager – Skilled Nursing Facility

BEAVERCREEK; Dayton (OH); On-site; USD 52,000 - 74,000; Full time

Benefits offered by this job

Health benefits

Paid time off

401(k)

Employee Stock Purchase Program

On-site leadership role

Meaningful difference for residents

Job summary

BEAVERCREEK is seeking a Business Office Manager to oversee all billing and reimbursement activities in a skilled nursing setting. You will coordinate RFMS, Medicaid applications, and private pay AR while explaining complex coverage to residents and families with clarity and compassion.

The role requires strong organizational skills, teamwork with facility leadership, and the ability to handle multiple deadlines in a fast-paced environment.

Qualifications

• High school diploma or equivalent.
• Strong understanding of skilled nursing billing and payment; proficient with Microsoft products.
• Experience in a long-term care or healthcare facility.

Responsibilities

• Oversee financial and reimbursement functions for the facility.
• Manage RFMS processes and Medicaid/pending applications.
• Handle private pay accounts receivable and follow up on collections.
• Explain Medicare/Medicaid coverage and changes to residents and families clearly.
• Prepare NOMNCs and perform bank reconciliations.
• Serve as backup for Accounts Payable and coordinate with payors and leadership.
• Maintain accurate financial records and support interdisciplinary team on coverage concerns.

Tools

RFMS

PointClickCare (PCC)

Medicaid process knowledge

Medicare/Medicaid coverage understanding

Private insurance coordination

Hospice billing understanding

Accounts receivable processes

Bank reconciliations

Communicating with payors

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 very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Lifting up to 50 pounds frequently. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.