BOM Business Office Manager LTC

Position Summary:

The Business Office Manager (BOM) is responsible for managing the day-to-day financial and administrative functions of the facility, including billing, resident accounts, payroll, admissions paperwork, and compliance with regulatory and corporate policies. The BOM ensures accurate financial recordkeeping, timely collections, and excellent customer service to residents and families.

Key Responsibilities:

Billing & Financial Management:

• Manage resident billing for Medicare, Medicaid, private pay, and insurance.

• Maintain accurate accounts receivable records and follow up on unpaid balances.

• Ensure all billing is completed timely and in compliance with payer requirements.

• Coordinate monthly billing cycles and assist with audits or reports as needed.

• Work closely with corporate billing departments and outside agencies.

Resident Accounts & Admissions Paperwork:

• Meet with residents and families to review financial obligations and admission agreements.

• Explain and assist with completion of financial paperwork (e.g., Medicaid applications, payer sources).

• Monitor and manage resident trust funds in accordance with regulations.

• Ensure all financial documentation is accurate, complete, and compliant.

Payroll & Employee Support:

• Process and verify employee timecards and payroll information.

• Maintain accurate employee records, schedules, and attendance logs.

• Assist with HR-related functions including benefits administration and onboarding, as assigned.

Office & Administrative Oversight:

• Oversee administrative assistants, reception, or clerical staff if applicable.

• Maintain organized and confidential files, records, and systems.

• Assist with daily operations, including reporting, purchasing, and supply tracking.

Compliance & Reporting:

• Ensure compliance with federal, state, and corporate policies regarding finance and resident billing.

• Support facility leadership with financial reporting, audits, and data analysis.

• Assist during surveys and respond to audit requests promptly and professionally.

Qualifications:

• High school diploma or equivalent required; Associate’s or Bachelor’s degree in Business, Accounting, or Healthcare Administration preferred

• Minimum 2 years of experience in healthcare business office management, preferably in long-term care

• Knowledge of Medicare, Medicaid, private insurance, and long-term care billing

• Experience with EHR, billing software, and payroll systems (e.g., PointClickCare, MatrixCare, Kronos, Paycom, etc.)

• Strong organizational, time management, and communication skills

• Ability to handle sensitive financial and personal information with confidentiality

• Customer-service oriented with professionalism in resident and family interactions