Business Office Manager

Optalis•Southfield, MI

5d•Onsite

About The Position

The Business Office Manager (BOM) is responsible for overseeing the daily financial and administrative operations of the facility business office. This role is a key interdisciplinary team member and ensures accurate billing, collections, accounts receivable/payable, resident trust management, and compliance with federal and state regulations in a skilled nursing and rehabilitation setting.

Requirements

Skilled nursing and rehabilitation setting experience
Accurate billing, collections, accounts receivable/payable, and resident trust management
Knowledge of federal and state regulations
Experience with Medicare, Medicaid, Managed Care, and Private Pay billing
Familiarity with resident Medicaid applications and redeterminations
Ability to communicate with residents and family members regarding payor benefits, billing statements, and payment expectations
Experience working with a Regional Business Office Manager to reduce AR days and manage past‑due accounts
Understanding of company policies, state and federal regulations, and long‑term care billing requirements
Ability to maintain confidentiality of resident and financial information
Experience serving as a liaison between various stakeholders
Experience supporting survey readiness and corrective action plans
Supervisory experience
Experience with training, performance management, and accountability of personnel
Ability to promote a professional, organized, and resident‑focused office environment

Responsibilities

Manage all aspects of the business office, including billing, accounts receivable, accounts payable, and private pay collections
Maintain and reconcile resident trust fund accounts
Conduct and participate in monthly Triple‑Check meetings with clinical and interdisciplinary teams
Monitor census and payor accuracy and ensure data integrity in financial systems
Process private statements and follow up on outstanding balances
Prepare and review financial reports as required by the Administrator or Regional BOM
Oversee billing for Medicare, Medicaid, Managed Care, and Private Pay
Handle resident Medicaid applications and redeterminations
Communicate with residents and family members regarding payor benefits, billing statements, and payment expectations
Work closely with the Regional Business Office Manager to reduce AR days and manage past‑due accounts
Ensure compliance with company policies, state and federal regulations, and long‑term care billing requirements
Maintain confidentiality of all resident and financial information
Serve as a liaison between the business office, facility leadership, residents, families, vendors, and government agencies
Support survey readiness and corrective action plans related to business office functions
Supervise and support front‑office staff as applicable
Assist with training, performance management, and accountability of business office personnel
Promote a professional, organized, and resident‑focused office environment