Assistant BOM

Cooper River Post Acute

Cooper River Post Acute is a magnificent 176‑bed skilled nursing facility located in the heart of Mount Pleasant, SC. Are you looking to make a difference in the lives of those we serve? At Cooper River we value relationships with our community, colleagues, and our residents and their families.

Our residents are at the heart of everything we do. Behind the scenes, the Business Office ensures they and their families have peace of mind for billing, applications, and financial support. As the Assistant Business Office Manager, you will play a key role in keeping those operations running smoothly while providing compassionate support.

• Resident Accounts & Billing
  • Manage resident accounts with accuracy and transparency.
  • Prepare monthly billing statements and assist with collections respectfully.
  • Support residents and families with financial questions.
• Applications & Forms (Medicaid/Medicare/Insurance)
  • Assist with Medicaid 181 applications and 1718 forms.
  • Process and track submissions to ensure compliance.
  • Coordinate SOC paperwork to support smooth admissions.
• Resident Funds Management (RFMS)
  • Maintain resident trust accounts using RFMS with integrity.
  • Post deposits and withdrawals; prepare monthly trust statements.
  • Ensure compliance with state and federal guidelines.
• Remittances & Reconciliation
  • Post and reconcile remits from Medicare, Medicaid, insurance, and private pay.
  • Research variances and follow up on denied claims.
  • Support monthly accounts receivable reconciliation.
• Compliance & Team Support
  • Keep financial documentation organized and audit‑ready.
  • Provide backup coverage for the Business Office Manager.
  • Collaborate with admissions, nursing, and social services to ensure seamless care transitions.

• 1–2 years of healthcare business office experience (skilled nursing/long‑term care a plus).
• Familiarity with Medicaid/Medicare billing, including 181, 1718, and SOC forms.
• Experience with RFMS or other resident fund management systems.
• Strong organizational and problem‑solving skills.
• Compassionate communication with residents, families, and staff.

• Be part of a mission‑driven team making a real difference in residents’ lives.
• Gain valuable hands‑on experience in healthcare finance and compliance.
• Work in a collaborative, supportive environment.
• Build a career where your skills support both numbers and people.

• Assist in organizing, planning, and directing administrative activities in accordance with policies and procedures.
• Maintain minutes of meetings and file records as required.
• Support the Administrator, DON, and Business Office Manager with clerical, accounting, and occasional HR and payroll duties.
• Ensure confidentiality of protected health information and report any suspected violations.