Revenue Cycle Business Office Manager

SanStone Health & Rehabilitation; Southern Pines (NC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive Pay

Employee appreciation events

Team-oriented work environment

Career growth and training

Paid time off and holidays

Health insurance with FSA/HSA

Dental and Vision

401K with employer match

Tuition reimbursement

Job summary

The Lodge at Sandhills Carolina in Pinehurst, NC is seeking an experienced Revenue Cycle Business Office Manager (BOM) to oversee financial and administrative operations in our skilled nursing facility.

The role focuses on accurate billing, timely collections, HIPAA compliance, and resident financial counseling, with in-office work five days a week.

Qualifications

• Skilled nursing facility billing and collections experience required.
• 1+ year healthcare revenue cycle experience with Medicare/Medicaid/insurance billing preferred.
• Ability to assist residents and families with financial inquiries and payment arrangements.
• Experience in pursuing insurance payments and Medicaid/Medicare claims follow-up.
• NC Medicaid application processes knowledge a plus.

Responsibilities

• Oversee accounts receivable and resident billing for Medicare, Medicaid, private insurance and private pay.
• Ensure timely submission of claims and follow-up on denials or unpaid balances.
• Prepare monthly revenue cycle reports and monitor AR cleanliness.
• Coordinate admissions financial aspects and verify insurance coverage and benefits.
• Maintain compliance with HIPAA, state and federal billing regulations.

Skills

Billing knowledge

Healthcare experience

Resident interaction

Education

Bachelor’s or Associate’s degree in business/Accounting

Tools

Microsoft Office

Billing software

Job description

Be a part of something new at The Lodge at Sandhills Carolina! Our brand-new, state-of-the-art facility in Pinehurst, North Carolina (NC), was thoughtfully designed to redefine care through exceptional hospitality, innovative services, and a welcoming environment for both residents and team members. We are currently seeking a Revenue Cycle Business Office Manager (BOM) to join our fantastic team of dedicated health care professionals.

Benefits include:

• Competitive Pay, commensurate with experience
• Regular Employee Appreciation Events to include refreshments and gifts
• Fun and supportive work environment that encourages teamwork and collaboration
• Career Growth and Training Opportunities
• Paid Time Off and 8 Paid Holidays
• New health insurance plans to include a prescription plan, FSA, and HSA plans
• Dental and Vision insurance
• 401K with employer match
• Tuition Reimbursement Programs

We are seeking an experienced Revenue Cycle Business Office Manager (BOM) to oversee financial and administrative operations in our skilled nursing facility. This position is responsible for accurate billing, timely collections, and compliance with regulatory requirements while supporting residents and families with financial matters. We are looking for a friendly, detail-oriented and experienced Revenue Cycle BOM for this role. The ideal candidate should be able to manage multiple priorities, work through complex situations in a positive manner and be able to embrace an ever-changing and fast-paced environment.

Qualifications:

• 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, it requires the candidate to be in the office 5 days a week, except for occasional rotation for Manager on Duty hours

Position Summary:

The Revenue Cycle Business Office Manager (BOM) is responsible for overseeing the financial and administrative operations of the skilled nursing facility. This role ensures 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.

Key Responsibilities include:

Financial Management

• Manage accounts receivable.
• Oversee resident billing, including Medicare, Medicaid, private insurance, and private pay accounts.
• Ensure timely submission of claims and follow-up on denials or unpaid balances.
• Prepare and review monthly revenue cycle reports to ensure clean account receivable
• Prepare and submit claims to Medicare, Medicaid, and commercial insurance carriers.
• Monitor claim status and follow up on unpaid or denied claims. Make daily collection calls to resolve AR for reconciliation
• Resolve claim rejections and denials by researching, analyzing, and correcting errors.
• 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.
• 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

• Oversee Receptionist and schedule creation
• Develop and maintain efficient office workflows and procedures.
• Collaborate with clinical and administrative teams to support overall facility operations.

Qualifications:

• Associate’s or bachelor’s degree in business administration, Accounting, or related field (preferred).
• Minimum 2–3 years of experience in healthcare billing and collections in long-term care or skilled nursing.
• Strong knowledge of Medicare, Medicaid, and insurance billing processes.
• Strong knowledge in Microsoft and billing software
• Excellent organizational, communication, and leadership 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.