The Business Office Manager (BOM) is responsible for overseeing the daily financial and administrative operations of the facility business office. This role is a key interdisciplinary team member and ensures accurate billing, collections, accounts receivable/payable, resident trust management, and compliance with federal and state regulations in a skilled nursing and rehabilitation setting.
Key ResponsibilitiesBusiness Office & Financial Operations
- Manage all aspects of the business office, including billing, accounts receivable, accounts payable, and private pay collections
- Maintain and reconcile resident trust fund accounts
- Conduct and participate in monthly Triple‑Check meetings with clinical and interdisciplinary teams
- Monitor census and payor accuracy and ensure data integrity in financial systems
- Process private statements and follow up on outstanding balances
- Prepare and review financial reports as required by the Administrator or Regional BOM
Billing & Payor Management
- Oversee billing for Medicare, Medicaid, Managed Care, and Private Pay
- Handle resident Medicaid applications and redeterminations
- Communicate with residents and family members regarding payor benefits, billing statements, and payment expectations
- Work closely with the Regional Business Office Manager to reduce AR days and manage past‑due accounts
Compliance & Collaboration
- Ensure compliance with company policies, state and federal regulations, and long‑term care billing requirements
- Maintain confidentiality of all resident and financial information
- Serve as a liaison between the business office, facility leadership, residents, families, vendors, and government agencies
- Support survey readiness and corrective action plans related to business office functions
Supervision & Leadership
- Supervise and support front‑office staff as applicable
- Assist with training, performance management, and accountability of business office personnel
- Promote a professional, organized, and resident‑focused office environment
Occasional Weekend manager rotation, required.
Skills Required
- Manage billing, accounts receivable, accounts payable, and private pay collections
- Maintain and reconcile resident trust fund accounts
- Oversee billing for Medicare, Medicaid, Managed Care, and Private Pay
- Handle resident Medicaid applications and redeterminations
- Monitor census and payor accuracy and ensure data integrity in financial systems
- Prepare and review financial reports for Administrator or Regional BOM
- Participate in monthly Triple-Check interdisciplinary meetings
- Communicate with residents and families about payor benefits, billing statements, and payment expectations
- Ensure compliance with company policies and state and federal regulations for long-term care billing
- Supervise and support front-office staff, including training and performance management
- Support survey readiness and corrective action plans related to business office functions
- Occasional weekend manager rotation
What We Do
Optalis Health and Rehabilitation delivers exceptional post-acute care across Ohio and Michigan. The company provides comprehensive services, including specialized rehabilitation programs, 24/7 skilled nursing, and personalized assisted living options, all designed to promote optimal recovery and independence. With a dedicated clinical team and patient-centered approach, they create seamless transitions from hospital to home while providing compassionate support at every stage of healing.
