Business Office Manager

Business Office Manager – Hillcrest Firethorn

Hillcrest Health & Living is looking for a highly organized, detail-driven, and customer-focused Business Office Manager to join our leadership team at Hillcrest Firethorn in Lincoln, NE.

Hillcrest Firethorn provides post-acute rehabilitation and skilled nursing services in a modern, hospitality-focused environment. Our team works together to support guests, residents, families, and team members through high-quality care, strong communication, and dependable service.

At Hillcrest, our mission is simple:
Inspiring people to live their best lives. As the Business Office Manager, you will play an important role in keeping the community's financial and administrative operations organized, accurate, and moving forward.

As the Business Office Manager, you will manage key financial, administrative, and customer-service functions for Hillcrest Firethorn. You will be responsible for resident billing, accounts receivable, collection support, accounts payable, concierge-team oversight, and day-to-day business office operations.

You will:

• Manage resident billing, accounts receivable, and collection-related activities.
• Communicate with guests, residents, families, and responsible parties regarding account balances, payment expectations, insurance responsibilities, and financial obligations.
• Handle sensitive financial conversations with professionalism, compassion, confidence, and appropriate follow-through.
• Complete prepaid and private-pay collection activities, including follow-up after a guest has discharged.
• Support Medicaid processes by assisting families with DHHS documentation, application follow-up, annual reviews, and caseworker communication.
• Support Medicare- and Medicaid-related business office processes, documentation, tracking, and follow-up.
• Manage resident trust accounts and related financial communication with residents and responsible parties.
• Process daily bank deposits, census reporting, ancillary charge posting and reconciliation, and petty cash.
• Complete accounts payable responsibilities through the electronic A/P system.
• Assist with invoice questions, payment discrepancies, and vendor billing concerns.
• Supervise, schedule, and provide day-to-day oversight for concierge team members.
• Assist with front-desk and concierge coverage when needed.
• Support community onboarding processes, including uniforms, name tags, packets, and other administrative needs.
• Maintain business office calendars, administrative tracking, office supplies, copier needs, and emergency call-tree updates.
• Assist guests and families with admission paperwork as needed.
• Support customer-satisfaction survey processes and ensure follow-up items are completed timely.
• Partner with community leadership and other departments while maintaining confidentiality, professionalism, and strong customer service.
• Take ownership of assigned responsibilities and track open items through completion.

We are looking for someone who is organized, accountable, and confident managing both financial details and customer-facing conversations.

The right candidate will be a strong multitasker who understands deadlines, pays close attention to detail, and can balance compassion with the confidence needed to discuss billing, payment expectations, and financial follow-up.

This is not an assistant role. It is a strong fit for a self-directed professional who can recognize what needs to be done, manage competing priorities, and keep the business office running without constant oversight.

Ideal candidates will have:

• Experience in a business office, billing, accounts receivable, accounts payable, administrative operations, or a similar role.
• Experience with Medicare and Medicaid processes strongly preferred.
• Senior living, skilled nursing, post-acute care, healthcare, or long-term care experience highly preferred.
• Comfort discussing account balances, financial responsibilities, and payment expectations with residents, families, and responsible parties.
• Strong attention to detail with billing, documentation, deposits, reconciliation, deadlines, and follow-up.
• Ability to manage multiple priorities in a…