Business Office Manager

Business Office Manager

At Sheridan Memorial Hospital, we proudly rank in the top 13.6% of U.S. hospitals, recognized by the Centers for Medicare and Medicaid Services. With over 850 dedicated employees and 100+ expert providers across 25 specialties, we are committed to exceptional, patient-centered care. Set in northern Wyoming’s stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure and community charm. Our hospital combines cutting-edge technology with a collaborative, innovative culture.

Join a team that values your skills, fosters growth, and empowers you to impact lives meaningfully. Apply today and be part of Sheridan Memorial Hospital’s mission of excellence!

The Business Office Manager is responsible for the financial and administrative operations of the long-term care facility, combining business office oversight with key administrative coordination responsibilities. This role oversees billing, collections, resident financial accounts, reporting, staff and facility scheduling support, timekeeping, compliance reporting, supply coordination, and front office operations. The position works closely with the Nursing Home Administrator (NHA), Director of Nursing (DON), organizational Finance and Billing teams, residents, families, and other departments to support accurate financial processes, efficient daily operations, regulatory compliance, and a positive resident and family experience.

Essential Job Functions

• Financial Operations
• Manage billing and collections for Medicare, Medicaid, private insurance, managed care, hospice, VA, and private pay accounts.
• Monitor accounts receivable, cash collections, aging reports, outstanding balances, and collection performance.
• Reconcile daily census and payer information to support accurate billing and reimbursement.
• Oversee resident trust accounts in compliance with applicable state and federal requirements.
• Prepare financial reports and assist with month-end close activities.
• Monitor census, payer mix, revenue trends, and other financial performance indicators.
• Ensure financial processes comply with applicable CMS requirements, state and federal regulations, and organizational standards.
• Assist with the referral process by completing funding verification on all possible admits.
• Resident and Family Financial Support
• Meet with residents and families to explain billing, coverage options, and financial responsibilities.
• Assist with Medicaid applications and payer conversion processes.
• Serve as a liaison between residents, families, facility leadership, and organizational billing/finance teams to resolve financial questions and concerns.
• Front Desk Communication Coordination
• Answer and direct incoming phone calls and provide information or assistance as appropriate.
• Greet and assist visitors, family members, vendors, and other guests in a welcoming and professional manner.
• Staff Scheduling Timekeeping
• Manage departmental timekeeping and review employee time cards for accuracy and completeness.
• Collaborate with Payroll and Human Resources to resolve timekeeping discrepancies and process necessary corrections.
• Hiring, Training Onboarding
• Assist with recruitment, hiring, and onboarding activities, including coordination of orientation and new employee processes.
• Support new-hire training and communication of facility policies, procedures, and regulatory requirements.
• Work with the Administrator and DON to support staffing needs and facility goals.
• Regulatory, Compliance Operational Reporting
• Assist with CMS reporting, including Payroll-Based Journal (PBJ) reporting, to support staffing and payroll compliance requirements.
• Support survey preparation, audits, compliance reviews, and maintenance of organized regulatory and operational documentation.
• Collaborate with leadership to review compliance data, identify opportunities for improvement, and support implementation of changes.
• Support the development, maintenance, and implementation of policies and procedures.
• Point Click Care  (PCC) Administration
• Serve as one of the facility’s Point Click Care  (PCC) Super Users.
• Manage user access, reporting, database administration, and vendor integrations within assigned scope.
• Provide PCC reporting and system support to leadership and department managers.
• Leadership Operational Support
• Collaborate with facility leadership on financial, operational, and process-improvement initiatives.
• Serve as a key member of the administrative team and support special projects and administrative functions as assigned.
• Promote positive collaboration with residents, families, leadership, staff, and organizational partners.

Performance Measures

• Accounts receivable and collection performance.
• Accuracy and timeliness of billing, reporting, scheduling, timekeeping, and financial processes.
• Survey readiness and regulatory compliance.
• Accuracy and timeliness of required CMS/PBJ and operational reporting.
• Completion of assigned projects and process-improvement initiatives.
• Positive collaboration and service to residents,…