We are seeking an experienced and highly organized Business Office Manager (BOM) to lead accounts receivable and business office operations of South Valley Post Acute. This position is responsible for ensuring accurate and timely billing and collections, maintaining resident financial files, coordinating insurance benefits, overseeing Medicare and Medicaid processes, and supporting the facility's overall revenue cycle. The ideal candidate has direct skilled nursing or long-term care business office experience and a strong working knowledge of Medicare, Medicaid, managed care, commercial insurance, private pay, and other payer sources. This individual must be comfortable managing the details of billing and reimbursement while also working collaboratively with nursing, therapy, admissions, social services, medical records, and facility leadership. The Business Office Manager plays a key role in ensuring that services are properly documented, coded, billed, collected, and reconciled while maintaining compliance with applicable payer and regulatory requirements. Essential Duties & ResponsibilitiesMedicare Billing & Reimbursement Manage Medicare billing processes for the skilled nursing facility, including accurate and timely submission of claims. Maintain working knowledge of Medicare Part A and Part B billing , covered and non-covered services, consolidated billing, coinsurance, deductibles, and secondary payer requirements. Understand SNF Medicare reimbursement, including PDPM , Medicare eligibility, benefit periods, qualifying coverage requirements, and payer changes. Review Medicare census and billing information for accuracy and identify potential reimbursement or documentation concerns before claims are submitted. Monitor Medicare claims through payment and address rejections, denials, adjustments, and requests for additional information. Coordinate with clinical, therapy, medical records, admissions, and other departments to resolve documentation or billing discrepancies. Ensure appropriate Medicare codes, billing information, payer information, and supporting documentation are accurately reflected. Monitor Medicare exhaust dates, benefit days, payer changes, and other events affecting resident billing. Medicare Meetings & Interdisciplinary Coordination Lead and/or coordinate routine Medicare meetings with nursing, therapy, MDS, social services, admissions, medical records, and facility leadership. Review current Medicare residents, coverage status, skilled needs, benefit days, payer sources, authorization requirements, and anticipated changes in coverage. Track upcoming payer transitions, Medicare exhaustions, notices, authorizations, and discharge considerations. Ensure financial and billing implications identified during Medicare meetings are communicated and followed through to resolution. Partner closely with the MDS and clinical teams regarding reimbursement-related documentation and resident status. Insurance & Managed Care Verify coverage, benefits, eligibility, authorizations, copayments, deductibles, and resident financial responsibility. Maintain expertise across multiple payer types, including: Traditional Medicare Medicare Advantage Medicaid Medicaid pending Managed Medicaid Commercial/private insurance Managed care Private pay Hospice Veterans benefits and other applicable payer sources Track insurance authorizations and ensure continued-stay or reauthorization requirements are addressed timely. Review payer contracts and reimbursement information as appropriate to ensure billing accuracy. Follow up on unpaid, underpaid, rejected, or denied insurance claims. Coordinate secondary and tertiary insurance billing when applicable. Medicaid Coordinate Medicaid eligibility and application processes with residents, responsible parties, eligibility specialists, and applicable agencies. Monitor Medicaid-pending accounts and aggressively follow up on outstanding documentation or eligibility issues. Track Medicaid effective dates, patient liability/share of cost, eligibility changes, and renewals. Ensure Medicaid billing is completed accurately and timely. Communicate financial obligations and documentation requirements clearly with residents and responsible parties. Accounts Receivable & Collections Manage the facility's accounts receivable and collections process with a strong focus on minimizing outstanding balances and improving cash flow. Review aging reports routinely and develop action plans for outstanding accounts. Conduct consistent follow-up on Medicare, Medicaid, managed care, insurance, and private-pay balances. Complete account reconciliations and investigate credit balances, unapplied payments, contractual adjustments, and billing discrepancies. Maintain accurate documentation of collection activity and account follow-up. Communicate professionally and compassionately with residents and responsible parties regarding statements, balances, payment arrangements, and financial obligations. Escalate seriously delinquent accounts according to company policy. Meet established goals for billing timeliness, collections, days in accounts receivable, and outstanding balances. Admissions & Resident Financial Management Work closely with Admissions to verify payer sources and financial information before and upon admission . Verify insurance benefits and communicate coverage limitations or financial obligations when identified. Ensure admission agreements, financial responsibility documents, insurance information, and required financial documentation are complete. Maintain accurate resident demographic, insurance, and payer information in the billing system. Process payer changes timely and accurately. Participate in census reconciliation to ensure admissions, discharges, hospital leaves, bed holds, and payer sources are properly recorded. Billing & Month-End Responsibilities Complete billing cycles accurately and within established deadlines. Review census and financial reports for accuracy prior to month-end closing. Reconcile resident days, payer classifications, charges, payments, adjustments, and accounts receivable. Prepare and distribute resident statements. Complete required month-end reports and reconciliations. Identify trends affecting reimbursement or collections and communicate concerns to the Administrator/Executive Director. Maintain organized documentation supporting claims, adjustments, payments, refunds, and account activity. Compliance & Confidentiality Maintain resident financial information in accordance with HIPAA, company policies, and applicable regulatory requirements. Follow Medicare, Medicaid, insurance, and organizational billing requirements. Maintain complete, accurate, and audit-ready financial records. Assist with financial audits, payer reviews, Medicare/Medicaid inquiries, and documentation requests. Immediately report potential compliance, billing, or reimbursement concerns to appropriate leadership. Maintain strict confidentiality regarding resident, family, employee, and facility financial information. Leadership & Facility Support Serve as the facility's primary resource for resident billing, insurance, and financial questions. Build effective working relationships with residents, families, responsible parties, insurance representatives, government agencies, and facility staff. Educate appropriate staff regarding payer requirements and business office processes. Participate in facility meetings, morning meetings, Medicare meetings, utilization/reimbursement discussions, and other meetings as assigned. Supervise, train, and support business office staff when applicable. Perform additional duties necessary to support effective business office and facility operations. Required Qualifications Prior Business Office Manager, billing, accounts receivable, or reimbursement experience in a skilled nursing facility, long-term care facility, or closely related healthcare environment strongly required. Demonstrated experience with Medicare billing and reimbursement in a SNF setting. Knowledge of Medicare Part A, Medicare Part B, Medicare Advantage, Medicaid, managed care, commercial insurance, and private-pay billing. Working knowledge of PDPM and skilled nursing reimbursement processes . Experience with insurance verification, authorizations, claims, denials, collections, and accounts receivable. Ability to understand and work with Medicare billing codes, claim requirements, payer requirements, and reimbursement documentation. Experience participating in or leading Medicare/insurance/reimbursement meetings . Strong understanding of skilled nursing census and payer management. Excellent organizational skills with the ability to manage multiple deadlines and priorities. Strong attention to detail and commitment to billing accuracy. Excellent written and verbal communication skills. Ability to communicate professionally and compassionately with residents and families regarding sensitive financial matters. Strong computer skills and ability to learn electronic health record, billing, and financial systems. Preferred Qualifications 2+ years of skilled nursing/long-term care business office experience. Previous experience as a SNF Business Office Manager strongly preferred. Experience independently managing a facility's monthly billing cycle and accounts receivable. Experience with Medicaid-pending accounts and eligibility processes. Experience managing Medicare Advantage and managed care authorizations and claims. Familiarity with [PCC/PointClickCare or your organization's software]. Experience supervising or training business office personnel. What Success Looks Like in This Role A successful Business Office Manager will: Maintain accurate and timely billing across all payer sources. Keep accounts receivable and aging within established company targets. Proactively identify insurance, authorization, eligibility, and reimbursement issues. Run organized and productive Medicare meetings with clear follow-up. Maintain accurate census and payer information. Follow Medicaid-pending and outstanding insurance accounts consistently. Communicate financial expectations clearly and respectfully with residents and families. Partner effectively with clinical and operational departments. Maintain organized, compliant, and audit-ready business office records. Take ownership of issues and follow them through to resolution. Ideal Candidate We are looking for someone who is proactive, accountable, organized, detail-oriented, and persistent . The right candidate understands that a successful SNF business office requires more than sending claims. It requires actively managing the entire revenue cycle, recognizing reimbursement risks early, following up relentlessly on outstanding balances and authorizations, and collaborating with the interdisciplinary team to ensure the facility is appropriately reimbursed for the care it provides. This is not an entry-level billing position. Prior skilled nursing or comparable healthcare reimbursement experience is strongly preferred. Equal Opportunity Statement South Valley Post Acute is an equal opportunity employer. We are committed to providing an inclusive workplace and considering qualified applicants without regard to any status protected by applicable federal, state, or local law.

Pay:

From $70,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person