Business Office Manager

Limitlessli•Harrisburg, PA

12d•Hybrid

About The Position

At Limitlessli, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering meticulously tailored services to meet our clients' unique business needs. The Opportunity: The Business Office Manager (BOM) is responsible for overseeing the daily financial and administrative operations of the facility’s business office. This role ensures accurate census management, billing, collections, cash controls, insurance verification, reimbursement processes, and regulatory compliance. The BOM plays a critical role in maintaining financial performance, revenue cycle integrity, and exceptional customer service for residents, families, payors, and external partners.

Requirements

High school diploma required
Minimum 3 years of Business Office, Billing, Accounts Receivable, or Revenue Cycle experience in Skilled Nursing, Long-Term Care, or Healthcare setting required.
Strong knowledge of Medicare, Medicaid, Managed Care, Private Pay billing, and collections.
Understanding of UB claims, Triple Check, and census management required.
Strong analytical and organizational skills
High attention to detail and accuracy
Knowledge of reimbursement and revenue cycle processes
Effective communication and collections skills
Ability to manage multiple deadlines
Professional handling of sensitive financial matters
Strong Excel and reporting skills
Problem-solving and follow-through mindset
Reliable computer
Noise-canceling headset
Second monitor for enhanced productivity
Stable internet connection
Backup internet connection

Nice To Haves

Associate’s or Bachelor’s degree preferred in Business, Accounting, Healthcare Administration, or related field.
Prior supervisory experience preferred.
Experience with PCC, RFMS, and healthcare billing systems preferred.

Responsibilities

Manage and reconcile daily census activity to ensure accuracy of admissions, discharges, transfers, payer changes, and room moves.
Utilize PCC Dashboard to review and validate census data.
Verify insurance coverage, eligibility, benefit periods, and dates used.
Enter and maintain authorizations timely and accurately.
Process all payor changes in billing systems and census records.
Maintain and update census spreadsheets and internal tracking reports.
Complete PA Health and Wellness reporting requirements accurately and on time.
Conduct 72-hour insurance reviews for all new admissions to confirm coverage and reimbursement opportunities.
Prepare and process daily deposits.
Complete Bankwell check deposits accurately and timely.
Reconcile and process Sola transactions.
Enter manual care costs in RFMS when required.
Maintain internal controls related to cash receipts and deposits.
Oversee collections for Private Pay and PL accounts while maintaining 95%+ collection performance.
Review monthly resident statements and invoices for accuracy prior to distribution.
Ensure timely mailing or electronic delivery of monthly bills.
Conduct collection calls for past due accounts professionally and consistently.
Coordinate magistrate filings and court-related collection actions when necessary.
Manage guardianship-related account matters and communication.
Process approved refund requests within 30 days.
Maintain aging reports and execute collection strategies to reduce outstanding AR.
Participate in Triple Check process to ensure accurate billing prior to claim submission.
Review UB claims for completeness, accuracy, payer compliance, and supporting documentation.
Resolve billing discrepancies before submission.
Collaborate with clinical and admissions teams to support clean claims and timely reimbursement.
Conduct weekly Utilization Review meetings/processes.
Monitor payer coverage, authorizations, continued stay criteria, and reimbursement opportunities.
Coordinate with clinical leadership to ensure documentation supports skilled coverage.
Supervise business office staff as assigned.
Train team members on billing systems, collections procedures, and customer service standards.
Maintain resident trust accounts, if applicable.
Ensure confidentiality of financial and resident information.
Support audits, month-end close, and special financial projects.
Promote a professional, service-oriented environment for residents and families.