Business Office Manager – Skilled Nursing Facility

(Beavercreek Post Acute) Dayton SNF Healthcare, LLC; United States; On-site; USD 60,000 - 95,000; Full time

Benefits offered by this job

Health benefits

Paid time off

401(k)

Employee Stock Purchase Program

Job summary

PACS is seeking a Business Office Manager to oversee financial and reimbursement functions in a post-acute setting. Responsibilities include Medicaid and private pay billing, collections, and coordination with residents, families, and payers.

Strong knowledge of RFMS and PCC is required, along with familiarity with NOMNCs and bank reconciliations. This full-time, on-site role emphasizes accuracy, confidentiality, and collaboration with facility leaders to maintain financial health and compliant

Qualifications

• High school diploma or equivalent required.
• Strong understanding of skilled nursing billing and payment.
• Previous experience in a long-term care or healthcare facility.
• Ability to read and interpret policy and procedure manuals.
• Ability to solve practical problems and follow instructions.
• Proficiency with RFMS, PCC, and Microsoft products.

Responsibilities

• Oversee RFMS processes and requirements.
• Complete and track Medicaid pending applications.
• Manage private pay accounts receivable and collections.
• Explain Medicare/Medicaid/private coverage to residents and families.
• Prepare NOMNCs and perform bank reconciliations.
• Back up Accounts Payable and monitor resident accounts.

Skills

RFMS

PCC

Medicaid processing

Medicare coverage

Private insurance

Hospice billing

Collections

Bank reconciliation

Accounts Payable

Resident communication

Confidentiality

Education

High school diploma or equivalent

Tools

Microsoft Office

PointClickCare (PCC)

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 coverage
  • Medicaid coverage and pending applications
  • Private insurance coverage
  • Hospice coverage
  • Private pay responsibilities
  • Changes 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

• 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

• 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.

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

• 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.

Company Overview

PACS is revolutionizing the delivery and leadership of post-acute healthcare and support services across the country. Originally founded in 2013, the organization now consists of hundreds of independent operating subsidiaries, as well as ancillary and support services. We bring a proven model of mission-driven care that balances access to a national network of support and resources with local decision making. In addition, PACS helps connect exceptional people with premier healthcare careers across the country. We focus on finding innovative and effective team members based on their qualifications, experience, geographic preferences, and personality fit with the existing facility staff and culture. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.