Medicaid Specialist/Nursing Home Business Office Manager

Outcome HC; Flemington (NJ); On-site; USD 70,000 - 95,000; Full time

Job summary

Outcome HC is seeking a Business Office Manager to direct daily administrative and financial operations in a healthcare facility. This role oversees billing, claims, payroll coordination, and staff, ensuring compliance with regulations while delivering excellent customer service.

The successful candidate will manage AR, optimize collections, and collaborate with clinical teams to ensure accurate documentation and coding.

Qualifications

• Bachelor's degree preferred in a related field.
• 3–5 years of healthcare business office management or revenue cycle experience.
• Knowledge of Medicare, Medicaid, HIPAA, and healthcare reimbursement processes.
• Experience with EHR and medical billing software.
• Strong leadership, organizational, and communication skills.

Responsibilities

• Direct daily administrative and financial operations of the facility.
• Oversee patient billing, insurance verification, claims submission, collections, and posting.
• Monitor accounts receivable and improve collections and aging balances.
• Ensure compliance with Medicare, Medicaid, HIPAA and regulations.
• Prepare financial reports, budgets, and monthly revenue analyses.
• Coordinate payroll processing and timekeeping records.
• Supervise and evaluate business office staff.
• Resolve patient billing inquiries and insurance issues promptly.
• Maintain accurate financial and patient records and documentation.

Skills

Leadership

Organizational skills

Problem-solving

Communication skills

Excel

Education

Bachelor's degree in Business Administration, Healthcare Administration, Accounting, Finance, or related field

Tools

EHR software

Medical billing software

Job description

Business Office Manager

About the Role:

The Business Office Manager is responsible for directing the daily administrative and financial operations of the healthcare facility. This position oversees patient billing, insurance claims, accounts receivable, payroll coordination, collections, and office staff while ensuring compliance with federal, state, and organizational regulations. The Business Office Manager works collaboratively with clinical and administrative teams to maintain efficient business operations and deliver excellent customer service.

Key Responsibilities

• Manage daily operations of the business office, ensuring efficient workflow and productivity.
• Oversee patient billing, insurance verification, claims submission, collections, and payment posting.
• Monitor accounts receivable and implement strategies to improve collections and reduce aging balances.
• Ensure compliance with Medicare, Medicaid, HIPAA, and other applicable healthcare regulations.
• Prepare financial reports, budgets, and monthly revenue analyses for leadership.
• Coordinate payroll processing and maintain employee timekeeping records.
• Supervise, train, and evaluate business office staff.
• Resolve patient billing inquiries and insurance claim issues promptly and professionally.
• Maintain accurate financial and patient records in accordance with organizational policies.
• Collaborate with clinical departments to ensure accurate documentation and coding.
• Develop and implement office policies and procedures to improve operational efficiency.
• Assist with audits, regulatory surveys, and financial reporting requirements.
• Maintain confidentiality of patient and financial information.

Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Accounting, Finance, or a related field preferred.
• Minimum of 3–5 years of experience in healthcare business office management, medical billing, or revenue cycle management.
• Knowledge of Medicare, Medicaid, commercial insurance, HIPAA, and healthcare reimbursement processes.
• Experience with electronic health records (EHR) and medical billing software.
• Strong leadership, organizational, and problem-solving skills.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office Suite, particularly Excel.

Preferred Skills

• Revenue cycle management experience.
• Financial reporting and budgeting expertise.Knowledge of healthcare regulations and compliance requirements.
• Staff supervision and performance management.
• Customer service and conflict resolution.
• Analytical and decision-making abilities.
• Attention to detail and accuracy.
• Ability to manage multiple priorities in a fast-paced healthcare environment

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