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Business Office Manager

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What they do

A Business Office Manager manages the day-to-day administrative tasks required to keep a business office running smoothly. Responsible for paperwork, processing invoices, maintaining databases, collecting expense data, recruiting and training employees, and stocking office with supplies.

$84,828 / year median in Texas

+16% projected growth

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Job Description

Job Summary Park Village Healthcare & Rehabilitation is seeking a dependable, organized, and accountable Assistant Business Office Manager (Assistant BOM) to join our Business Office team. We are seeking someone who is reliable, proactive, organized, and accountable. The successful candidate will independently manage assigned accounts, maintain accurate documentation, meet established deadlines, communicate barriers promptly, and consistently follow outstanding items through resolution. The Assistant BOM will have primary responsibility for Medicaid billing and A/R, Medicaid applications and renewals, Hospice Medicaid, Resident Trust Fund (RFMS), Private Pay, and Patient Liability accounts. This position will also support the Business Office Manager with Medicare and Managed Care billing, A/R follow-up, Triple Check, and month-end processes. Success in this role means more than completing tasks—it means taking ownership of the outcome. Primary Responsibilities
  • Manage Medicaid billing and A/R follow-up, including unpaid, underpaid, rejected, and denied claims.
  • Complete and track Medicaid applications, renewals/recertifications, eligibility, and Medicaid Pending accounts.
  • Coordinate with residents, families, caseworkers, and Medicaid plans to resolve eligibility and financial issues.
  • Manage Hospice Medicaid accounts, including billing coordination, patient liability/applied income, collections, and outstanding balances.
  • Manage Resident Trust Fund accounts through RFMS, including deposits, withdrawals, balances, documentation, and reconciliation in accordance with regulatory requirements.
  • Manage Private Pay and Patient Liability accounts, including billing, collections, payment arrangements, and consistent follow-up on outstanding balances.
  • Communicate professionally with residents and responsible parties regarding balances, financial obligations, Medicaid requirements, and outstanding documentation.
  • Maintain accurate payer setup, census information, financial records, and detailed account notes in PointClickCare (PCC).
  • Review assigned aging reports and maintain consistent collection activity.
  • Post and reconcile payments and assist with daily cash processes.
  • Participate in admission, discharge, payer-change, and interdisciplinary meetings to identify financial and eligibility concerns.
  • Assist the Business Office Manager with Medicare and Managed Care billing and A/R follow-up.
  • Assist with claim corrections, denials, rejected claims, authorizations, and payer discrepancies.
  • Participate in Triple Check to verify census, payer sources, coverage dates, authorizations, ancillary charges, and other billing information.
  • Support month-end billing and Business Office close processes.
  • Other duties as assigned. Qualifications We are willing to train the right person!
  • SNF, long-term care, healthcare billing, collections, or revenue cycle experience preferred.
  • Texas Medicaid billing, applications, renewals, eligibility, or A/R experience strongly preferred.
  • Experience with Resident Trust/RFMS, Private Pay, and Patient Liability preferred.
  • Knowledge of Medicare, Managed Care, Medicaid, and Hospice reimbursement preferred.
  • PointClickCare (PCC) and RFMS experience preferred.
  • Strong organizational, time-management, and collection skills.
  • Excellent attention to detail and ability to manage multiple deadlines.
  • Strong written and verbal communication skills.
  • Proficiency with Microsoft Outlook, Excel, data entry, and general office systems.
High School Diploma Benefits:
401(k) Dental insurance Health insurance Paid time off Vision insurance
Work Location:
In person

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Health Insurance
  • Dental Insurance