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Business Office Manager

Job in Township of Columbia, Boone County, Missouri, USA
Listing for: Aspire Senior Living
Full Time position
Listed on 2026-10-14
Job specializations:
  • Accounting
    Accounts Receivable/ Collections, Payroll
Salary/Wage Range or Industry Benchmark: 28 USD Hourly USD 28.00 HOUR
Job Description & How to Apply Below
Location: Township of Columbia

Business Office Manager - Aspire Senior Living

Full-Time Day

Up to $28hr!

Aspire Senior Livingis a leading provider of long-term care services dedicated to enhancing the well-being of our residents. We are committed to providing compassionate and high-quality care in a supportive environment. As we continue to grow, we are seeking a dynamic and detail-oriented individual to join our team as a Business Office Manager
.

The Business Office Manager is an important member of our leadership team and helps ensure efficient operations, regulatory compliance, accurate reimbursement, and a positive experience for our residents, families, and employees.

Responsibilities
  • Manage billing for Medicare, Medicaid, commercial insurance, and private-pay accounts, ensuring accurate and timely reimbursement.

  • Oversee accounts receivable, collections, billing inquiries, reconciliations, and outstanding balances.

  • Manage accounts payable, vendor invoices, payment processing, purchasing, and related recordkeeping.

  • Monitor revenue, expenses, budgets, and financial performance while helping identify opportunities for cost control.

  • Coordinate financial reporting, audits, and regulatory requirements.

  • Manage payroll processes, including timekeeping, payroll processing, deductions, and related documentation.

  • Support human resources functions, including recruitment, onboarding, benefits administration, employee relations, performance management, and training.

  • Maintain accurate and confidential employee and personnel records.

  • Serve as a resource for employees regarding payroll, benefits, and HR-related questions.

  • Ensure accurate and timely submission of claims and assist with resolving billing discrepancies, denials, coding concerns, and appeals.

  • Stay current on healthcare billing regulations, reimbursement requirements, and payer guidelines.

  • Coordinate purchasing of supplies, equipment, and services while monitoring expenditures and vendor agreements.

  • Prepare required reports and data submissions for regulatory agencies, payers, and accrediting organizations.

  • Partner with leadership and department heads to strengthen policies, procedures, internal controls, and regulatory compliance.

  • Assist residents and families with billing questions, financial matters, and available assistance programs.

  • Promote teamwork, professionalism, and open communication across departments.

  • Perform other duties as assigned.

Requirements
  • 2–3 years of experience in healthcare billing, accounts receivable, payroll, financial management, or a related field.

  • Long-term care, skilled nursing, senior living, or other healthcare experience preferred.

  • Knowledge of Medicare, Medicaid, commercial insurance, healthcare reimbursement, and third-party payer processes.

  • Understanding of human resources practices, employment requirements, and regulatory compliance.

  • Proficiency with accounting and payroll systems and Microsoft Office, particularly Excel and Word.

  • Familiarity with electronic health records (EHR) and healthcare information technology is preferred.

  • Strong attention to detail, analytical thinking, and problem-solving skills.

  • Excellent communication, interpersonal, and customer service skills.

  • Ability to prioritize competing responsibilities and meet deadlines in a fast-paced environment.

  • Commitment to confidentiality, integrity, professionalism, and exceptional service.

Benefits
  • Competitive Wage Rates

  • Advanced Pay (hourly employees)

  • 401(k)

  • Paid Time Off (PTO) & Holiday Pay

  • New Paid Maternity Leave

  • Medical, Dental & Vision, Life Insurance + more

  • Advancement Opportunities

  • Exclusive Aspire Senior Living Employee Perks

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