Multi Facility Business Office Manager

We are seeking an experienced Multi-Facility Business Office Manager to oversee financial and administrative operations in multiple skilled nursing facility locations. This position is responsible for accurate billing, timely collections, and compliance with regulatory requirements while supporting residents and families with financial matters. We are looking for a friendly, detail-oriented and experienced Revenue Cycle BOM for this role. The ideal candidate should be able to manage multiple priorities, work through complex situations in a positive manner and be able to embrace an ever-changing and fast-paced environment.

• 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 North Carolina (NC) State requirements
• This is not a remote position, and travel is required to any of our NC facilities and to meetings at our Home Office in Asheville.
• Additionally, there will be some overnight stays.
• This role requires the candidate to be in the office 5 days a week, except for occasional rotation for Manager on Duty hours

The Multi-Facility Business Office Manager (BOM) is responsible for overseeing the financial and administrative operations of our skilled nursing facilities. This role ensures accurate billing, timely collections, compliance with regulatory requirements, resident financial conversations and collections. This position requires efficient office management to support resident care and facility operations.

• 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.

• Associate’s or bachelor’s degree in business administration, Accounting, or related field (preferred).
• 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.

At San Stone Health & Rehabilitation, we offer employment opportunities in North Carolina that are filled with purpose. We are an organization that is dedicated to making a difference in our industry and caring as passionately for our employees as we do our residents.