Regional Business Office Manager

Lead Financial Excellence. Empower Exceptional Care!

Why Join Us?

• We are a family owned, growing company, with hotel-like facilities that we build!
• Positive, Family-Like Atmosphere
  – Work in a fun, supportive environment where you’re appreciated & valued.
• Strong, Stable Leadership
  – Join a team led by experienced managers who are committed to customer service excellence and staff development.

The Regional Business Office Manager (RBOM) is responsible for overseeing and supporting the business office operations across multiple Progressive Quality Care facilities. This role ensures accurate billing, compliance with payer requirements, and effective training and support for facility-level Business Office Managers (BOMs). The RBOM plays a critical role in optimizing revenue, maintaining policy compliance, and improving overall financial performance.

• Minimum of 2 years of experience in a skilled nursing facility business office
• Strong working knowledge of Medicare, Medicaid, and managed care eligibility and billing
• Proficiency in relevant software systems including Quadax, MITS, Availity, Waystar, MyCare Portals, and Point Click Care
• Experience with Provider Gateway forms (9401, 10203, 7078)
• Excellent organizational, communication, and time management skills
• Ability to travel regularly to multiple facilities
• Strong analytical and problem‑solving abilities
• Professional demeanor and commitment to company goals

• Travel to facilities to provide on-site training, support, and follow‑up for BOMs
• Train and support staff in census management, eligibility tools, billing processes, and software systems
• Oversee accounts receivable, aging reports, cash receipts, refunds, and resident trust accounts
• Ensure accurate account adjustments and month‑end close procedures
• Serve as the primary contact for BOMs and Administrators to resolve issues and provide guidance
• Provide coverage for facility BOMs when needed
• Complete month‑end balancing reports and reconciliation sheets for corporate close
• Audit and reconcile accounts, troubleshoot billing issues and ensure payer accuracy
  
  Ensure proper documentation for Medicaid and MyCare billing, including LOC and 9401 forms
• Monitor and support Medicaid pending accounts and logs; attend Medicaid hearings as needed
• Audit RFMS for authorizations, over‑resource letters, negative balances, and surety bond coverage
• Conduct monthly aging reviews with BOMs and Administrators; assist with collections and resubmissions
• Oversee private pay collections and elevate accounts to corporate collections when necessary
• Identify uncollectable accounts and forward to corporate collections
• Complete site visit reports and communicate findings with Administrators and Corporate AR
• Maintain regular communication with Administrators, Corporate AR Manager, and CFO
• Stay updated on reimbursement changes and conduct training as needed
• Participate in weekly corporate meetings to review focus buildings, issues, and successes

• Ability to travel frequently between facilities
• Ability to sit, stand, and walk for extended periods
• Use of hands and arms for documentation and computer tasks
• Must be able to manage multiple tasks in a fast‑paced environment
• May be exposed to emotionally sensitive situations when working with residents and families

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.