Regional Business Office Manager

Legacy Healthcare LLC; Des Moines (IA); On-site; USD 65,000 - 85,000; Full time

Job summary

Legacy Healthcare is expanding and seeking a Regional Business Office Manager to oversee operations in skilled nursing communities across Iowa. This position is ideal for a motivated billing leader eager for career growth in a fast-paced environment. Responsibilities include ensuring accurate financial management and partnering with state agencies while fostering a successful team culture.

Benefits

Competitive wages & bonus opportunities

Tuition reimbursement & internal growth paths

Comprehensive benefits package & 401(k) with match

Paid holidays – including your birthday!

Employee Assistance Program (EAP)

Qualifications

• Experience in healthcare as a Business Office Manager.
• Knowledge of billing systems.
• Strong communication and organizational skills.

Responsibilities

• Oversee business office operations across assigned facilities.
• Ensure accurate billing, collections, and AR management.
• Support and coach on-site Business Office Managers.

Skills

Knowledge of Medicaid/Medicare reimbursement

Organizational skills

Communication skills

Proficiency in Excel

Proficiency in Word

Education

1–2+ years as a Business Office Manager in healthcare

Job description

Legacy Healthcare is growing, and we’re looking for a Regional Business Office Manager to support multiple skilled nursing communities across Iowa. This is a great opportunity for a motivated billing leader who thrives in a fast-paced, multi-site environment and is looking to grow their career.

What We Offer:

• Competitive wages & bonus opportunities
• Tuition reimbursement & internal growth paths
• Comprehensive benefits package & 401(k) with match
• Paid holidays – including your birthday!
• Employee Assistance Program (EAP)
• And more!

In this regional role, you will:

• Oversee business office operations across assigned facilities
• Ensure accurate billing, collections, and AR management
• Support and coach on-site Business Office Managers
• Assist with Medicaid/Medicare processes
• Meet with residents/families on financial matters
• Partner with state and federal agencies on documentation and compliance

What We're Looking For:

• 1–2+ years as a Business Office Manager in healthcare; regional experience a plus
• Strong knowledge of Medicaid/Medicare reimbursement
• Assertive, organized, and professional communicator
• Proficiency in Excel, Word, and billing systems

Join a team that’s committed to your success and the success of our residents.

Legacy Iowais an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disability, or status as a disabled or Vietnam-era veteran. When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by federal, state, or local law.

Legacy Iowa never requests or sends money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of their recruitment process.