Business Office Manager

Hillcrest Health & LIving • Lincoln, NE

7d • Onsite

About The Position

Hillcrest Health & Living is looking for a highly organized, detail-driven, and customer-focused Business Office Manager to join our leadership team at Hillcrest Firethorn in Lincoln, NE. Hillcrest Firethorn provides post-acute rehabilitation and skilled nursing services in a modern, hospitality-focused environment. Our team works together to support guests, residents, families, and team members through high-quality care, strong communication, and dependable service. At Hillcrest, our mission is simple: Inspiring people to live their best lives. As the Business Office Manager, you will play an important role in keeping the community’s financial and administrative operations organized, accurate, and moving forward.

Requirements

• Experience in a business office, billing, accounts receivable, accounts payable, administrative operations, or a similar role.
• Experience with Medicare and Medicaid processes strongly preferred.
• Senior living, skilled nursing, post-acute care, healthcare, or long-term care experience highly preferred.
• Comfort discussing account balances, financial responsibilities, and payment expectations with residents, families, and responsible parties.
• Strong attention to detail with billing, documentation, deposits, reconciliation, deadlines, and follow-up.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong organizational skills and the ability to monitor open items through completion.
• A self-directed work style with strong accountability, urgency, and follow-through.
• Confidence supervising and scheduling a customer-facing team.
• Excellent customer-service skills with compassion, patience, and professionalism.
• Ability to communicate clearly, directly, and respectfully with residents, families, leaders, vendors, and team members.
• A positive, solution-focused approach with the ability to remain professional under pressure.
• Strong computer skills, including Microsoft Office and the ability to learn new business office systems.
• High school diploma or equivalent required.
• At least one year of administrative or business office experience required.
• Healthcare, senior living, skilled nursing, or post-acute business office experience strongly preferred.
• Medicare and Medicaid experience strongly preferred.
• Must be able to speak, read, and write English.
• Must be able to independently lift up to 35 pounds.
• Must be able to perform repetitive sitting, bending, standing, walking, and movement as needed.
• Must be flexible, calm, and professional in stressful or changing situations.
• Must be able to work in a fast-paced environment with strong attention to detail.
• Must be able to utilize technology, office systems, and business resources efficiently and effectively.
• Must be able to maintain confidentiality and appropriately handle sensitive financial, resident, and team-member information.

Nice To Haves

• Post-high school clerical training, business coursework, or a degree with a business emphasis preferred.

Responsibilities

• Manage resident billing, accounts receivable, and collection-related activities.
• Communicate with guests, residents, families, and responsible parties regarding account balances, payment expectations, insurance responsibilities, and financial obligations.
• Handle sensitive financial conversations with professionalism, compassion, confidence, and appropriate follow-through.
• Complete prepaid and private-pay collection activities, including follow-up after a guest has discharged.
• Support Medicaid processes by assisting families with DHHS documentation, application follow-up, annual reviews, and caseworker communication.
• Support Medicare- and Medicaid-related business office processes, documentation, tracking, and follow-up.
• Manage resident trust accounts and related financial communication with residents and responsible parties.
• Process daily bank deposits, census reporting, ancillary charge posting and reconciliation, and petty cash.
• Complete accounts payable responsibilities through the electronic A/P system.
• Assist with invoice questions, payment discrepancies, and vendor billing concerns.
• Supervise, schedule, and provide day-to-day oversight for concierge team members.
• Assist with front-desk and concierge coverage when needed.
• Support community onboarding processes, including uniforms, name tags, packets, and other administrative needs.
• Maintain business office calendars, administrative tracking, office supplies, copier needs, and emergency call-tree updates.
• Assist guests and families with admission paperwork as needed.
• Support customer-satisfaction survey processes and ensure follow-up items are completed timely.
• Partner with community leadership and other departments while maintaining confidentiality, professionalism, and strong customer service.
• Take ownership of assigned responsibilities and track open items through completion.

Benefits

• Competitive compensation.
• Multiple health insurance plan options.
• Vision, dental, and life insurance.
• Professional development support, including tuition reimbursement, certifications, and career-growth programs.
• Dayforce Wallet, allowing you to choose when you get paid.
• Gym membership reimbursement and partner discounts.
• Supportive leadership and a collaborative team environment.
• Opportunities to grow within a mission-driven senior care organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED