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Administrative
Office Manager
Bamberg, SC
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Skilled Nursing and Long-Term Care Facility Position Summary The Business Office Manager is responsible for overseeing the financial and administrative operations of the facility's business office. This position manages resident billing, accounts receivable, accounts payable, census and admission financial records, collections, insurance claims, Medicaid and Medicare billing support, and resident trust fund accounts as applicable. The Business Office Manager ensures accurate financial records, timely processing of payments, confidentiality of resident information, and compliance with applicable regulations and facility policies. Essential Duties and Responsibilities Oversee the daily operations of the business office. Manage resident billing, private-pay accounts, and accounts receivable. Monitor outstanding balances and follow up on overdue accounts professionally. Coordinate Medicaid applications, eligibility documentation, and financial information with residents, families, and authorized representatives. Assist with Medicare, Medicaid, managed care, and private insurance billing and claim follow-up. Process accounts payable, invoices, purchase orders, and vendor payments according to facility procedures. Reconcile resident accounts, bank statements, and financial reports as assigned. Maintain accurate resident financial records and admission-related business documentation. Manage resident trust fund accounts and related records when assigned, following applicable requirements. Prepare monthly financial reports, aging reports, census reports, and other administrative reports. Work closely with the Administrator, Admissions, Social Services, Central Billing, and corporate accounting teams. Communicate with residents and families regarding billing questions, balances, payment arrangements, and financial documentation. Maintain organized records and ensure appropriate confidentiality under HIPAA and facility policies. Assist with financial audits, internal reviews, and regulatory inspections. Supervise, train, and support business office staff as applicable. Ensure business office procedures are followed consistently and deadlines are met. Qualifications Associate degree in Accounting, Business Administration, Finance, or a related field preferred. Previous experience in healthcare billing, accounting, or business office administration required. Experience in a skilled nursing facility, nursing home, assisted living, or other healthcare setting strongly preferred. Working knowledge of Medicare, Medicaid, private-pay billing, accounts receivable, and accounts payable. Proficiency in Microsoft Office and electronic billing or accounting systems. Strong organizational, communication, customer service, and problem-solving skills. Ability to maintain confidentiality and handle sensitive financial information. Strong attention to detail and ability to meet deadlines. Preferred Experience Two or more years of business office, billing, or accounting experience. Prior long-term care or skilled nursing facility experience. Experience with Medicaid eligibility and resident financial documentation. Experience reconciling accounts, preparing reports, and managing collections. Prior supervisory or leadership experience. Key Competencies Financial accuracy and accountability Organization and time management Professional communication Resident and family customer service Confidentiality and ethical conduct Problem-solving and analytical skills Teamwork and leadership Work Environment This position operates primarily in an office setting within a long-term care facility and requires regular communication with residents, families, facility leadership, and outside agencies. Recommended hiring requirements Long-term care business office experience — especially nursing home billing and resident accounts. Medicaid and Medicare knowledge — including eligibility documentation and insurance claim follow-up. Accounts receivable and collections — ability to monitor aging reports and resolve unpaid balances. Accounting and reconciliation skills — accuracy with payments, invoices, and financial reports. Strong communication skills — handling sensitive billing conversations with residents and families.
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance
Experience:
Business Office Management:
1 year (Required) Medicaid billing: 1 year (Required) Attention to detail: 1 year (Preferred)