Business Office Manager jobs in United States
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SanStone Health & Rehabilitation · 2 days ago

Business Office Manager

SanStone Health & Rehabilitation is seeking an experienced Revenue Cycle Business Office Manager to oversee financial and administrative operations in their skilled nursing facility. The role involves managing billing, collections, and compliance while supporting residents and families with financial matters.

Health CareHospital

Responsibilities

Manage 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 receivable
Prepare 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 reconciliation
Resolve claim rejections and denials by researching, analyzing, and correcting errors
Attend weekly meetings such as care plan, 72-hour, resident discharge and triple check
Ensure compliance with payer-specific guidelines and regulatory requirements
Coordinate 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 needed
Communicate 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 empathy
Ensure 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
Oversee Receptionist and schedule creation
Develop and maintain efficient office workflows and procedures
Collaborate with clinical and administrative teams to support overall facility operations

Qualification

Healthcare billing experienceMedicare billing knowledgeMedicaid billing knowledgeInsurance billing knowledgeBilling software proficiencyAnalytical skillsLeadership skillsOrganizational skillsCommunication skillsInterpersonal skills

Required

Skilled nursing facility experience
Minimum of 1 year of healthcare related revenue cycle experience from a Medicare, Medicaid and insurance billing perspective
Willingness to work with residents and families to collect out of pocket co-pays
Follow-up and seek payment on insurance, Medicare and Medicaid claims
Work with residents to complete Medicaid pending application process based on NC State requirements
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 hours
Associate's or bachelor's degree in business administration, Accounting, or related field
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 software
Excellent organizational, communication, and leadership skills
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

Company

SanStone Health & Rehabilitation

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SanStone Health & Rehabilitation provides short-stay and long-term rehabilitative care to patients transitioning from the hospital back to their private homes.

Funding

Current Stage
Late Stage

Leadership Team

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Michael DeLoach
Co-Founder
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Christopher Sprenger
Owner
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Company data provided by crunchbase