Revenue Cycle Assistant Business Office Manager

SanStone Health; Greensboro (NC); On-site; USD 48,000 - 72,000; Full time

Job summary

SanStone Health in Greensboro, NC seeks a Revenue Cycle Assistant Business Office Manager to support the facility's billing and collections. This in-person role reports to the Administrator and focuses on daily revenue cycle activities.

Responsibilities include verifying insurance, preparing claims for Medicare/Medicaid, collecting co-pays, and maintaining accurate resident financial records. You will collaborate with care teams and residents to ensure compliant, timely billing.

Qualifications

• Minimum 1 year of healthcare revenue cycle experience from Medicare/Medicaid billing perspective.
• Experience with insurance verifications and patient billing.
• Ability to explain financial information to residents and families.
• Knowledge of HIPAA and regulatory requirements.

Responsibilities

• Manage accounts receivable and resident billing.
• Follow up on Medicare/Medicaid and private insurance claims.
• Assist with Medicaid pending applications according to NC requirements.
• Provide financial counseling and discuss pensions, trusts, eligibility.
• Ensure timely submission of claims and maintain AR reporting.
• Maintain resident trust accounts and process statements.
• Collaborate with Administrator and Business Office Manager daily.
• Ensure compliance with HIPAA and billing regulations.

Skills

Healthcare billing

Accounts receivable

Medicare/Medicaid billing

Communication skills

Regulatory compliance

Education

High School Diploma or GED

Associate’s degree desirable

Tools

Microsoft Office

Billing software

EHR / Electronic Health Records

Job description

Job Title: Revenue Cycle Assistant Business Office Manager

Reports To: Administrator
Location: Camden Health and Rehabilitation - 135 bed skilled nursing facility.

This is an in-person position in Greensboro, NC. If you do not live in the area, please include when you will be relocating to the area in your resume.

Job Posting

We are seeking a Revenue Cycle Assistant Business Office Manager (ABOM) to oversee financial and administrative operations in our skilled nursing facility. The primary purpose of the Assistant Business Office Manager is to assist the Revenue Cycle Business Office Manager with daily duties, including insurance verifications, billing and reimbursement, credit and collections, and other financial matters as directed by the Business Office Manager. We are looking for a friendly, detail-oriented and experienced Revenue Cycle ABOM for this role. The ideal candidate should be able to achieve multiple priorities, feel comfortable having financial conversations with our residents, work through complex situations in a positive manner and be able to embrace an ever-changing and fast-paced environment.

Please submit your resume if you meet the following criteria:

• Preferred Skilled nursing facility experience
• Minimum of 1 year of healthcare related revenue cycle experience from a Medicare, Medicaid and insurance billing perspective
• Willingness to work with residents and families to collect out of pocket co-pays
• Follow-up and seek payment on insurance, Medicare and Medicaid claims
• Work with residents to complete Medicaid pending application process based on NC State requirements
• Please note: This is not a remote position and will report to the facility M-F

Position Summary:

The Revenue Cycle Assistant Business Office Manager (ABOM) is responsible for supporting the revenue cycle process of the skilled nursing facility. This role supports accurate billing, timely collections, compliance with regulatory requirements, resident financial conversations and collections. This position requires efficient office management to support resident care and facility operations at the discretion of the Administrator.

Key Responsibilities include:

Financial Management

• Manage accounts receivable as directed.

• Facilitate resident billing, including Medicare, Medicaid, private insurance, and private pay accounts.

• Ensure that the financial portion of the resident admission contracts are signed and appropriately filed within 48-hours of admission

• Establish and maintain accounts receivable reporting. Report delinquent accounts to the Business Office Manager

• Assist, when requested by the Administrator, in advising residents on financial matters that will promote their highest well-being (e.g., information on pensions, trusts, Medicare/Medicaid eligibility, etc.)

• Ensure timely submission of claims as directed and follow-up on unpaid balances.

• Review monthly revenue cycle reports to ensure clean account receivable

• Monitor claims and follow up on unpaid balances. Make daily collection calls to resolve AR for reconciliation

• Attend weekly meetings such as care plan, 72-hour, resident discharge and triple check

• Ensure compliance with payer-specific guidelines and regulatory requirements.

Resident Accounts & Admissions

• Coordinate financial aspects of resident admissions, including verification of insurance coverage and benefits.

• Develop, implement, and maintain accounting procedures for safeguarding residents’ funds when a resident requests in writing that the facility do so.

• Assist residents and families with financial inquiries and payment arrangements.

• Maintain accurate resident trust accounts in compliance with state and federal regulations.

• Generate and distribute patient statements. Explain financial statements to residents as needed

• Communicate with patients and families regarding outstanding balances.

• Set up payment plans and assist with financial counseling as needed.

• Handle escalated billing inquiries with professionalism and empathy

Compliance & Documentation

• Ensure compliance with HIPAA, state, and federal billing regulations.

• Maintain accurate and organized documents and records for audits and inspections.

• Implement and monitor internal controls to prevent fraud and errors.

Team & Office Support

• Maintain efficient office workflows and procedures.

• Collaborate with clinical and administrative teams to support overall facility operations.

Qualifications:

• High School Diploma or GED required, associate’s degree is desirable in healthcare or business-related field.

• Minimum 1 year of experience in healthcare billing and collections in healthcare (long-term care or skilled nursing is preferable).

• Strong knowledge of Medicare, Medicaid, and insurance billing processes.

• Knowledge in Microsoft and billing software.

• Excellent written and oral communication skills.

Core Competencies:

• Detail-oriented with strong analytical skills.

• Ability to manage multiple priorities in a fast-paced environment.

• Strong interpersonal skills for resident and family interactions.

• Commitment to ethical and compliant business practices.