Revenue Cycle Business Office Manager (BOM)

Revenue Cycle Business Office Manager (BOM)SanStone Health & Rehabilitation is 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 experienceRegular Employee Appreciation Events to include refreshments and giftsFun and supportive work environment that encourages teamwork and collaborationCareer Growth and Training OpportunitiesPaid Time Off and 8 Paid HolidaysNew health insurance plans to include a prescription plan, FSA, and HSA plansDental and Vision insurance401K with employer matchTuition Reimbursement ProgramsWe 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.Please submit your resume if you meet the following criteria:Skilled nursing facility experienceMinimum of 1 year of healthcare related revenue cycle experience from a Medicare, Medicaid and insurance billing perspectiveWillingness to work with residents and families to collect out of pocket co-paysFollow-up and seek payment on insurance, Medicare and Medicaid claimsWork with residents to complete Medicaid pending application process based on NC State requirementsPlease 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 hoursPosition 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 ManagementManage 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 receivablePrepare 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 reconciliationResolve claim rejections and denials by researching, analyzing, and correcting errors.Attend weekly meetings such as care plan, 72-hour, resident discharge and triple checkEnsure compliance with payer-specific guidelines and regulatory requirements.Resident Accounts & AdmissionsCoordinate 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 neededCommunicate 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 empathyCompliance & DocumentationEnsure 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 SupportOversee Receptionist and schedule creationDevelop 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 softwareExcellent 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.At SanStone Health & Rehabilitation, we offer employment opportunities in North Carolina that are filled with purpose. We are an organization that is dedicated to making a difference in our industry and caring as passionately for our employees as we do our residents.

If you are looking for a rewarding opportunity in a compassionate setting, apply today!