Business Office Director for Skilled Nursing Center

Business Office Director – Skilled Nursing Center

Location:

Sumter, SC 29154
Job Type: Full-Time, Permanent
Posted: 07/17/2026

We are a skilled nursing and rehabilitation facility seeking an experienced Business Office Director. The role includes full benefits, paid time off earned from day one, and on-demand pay.

Qualifications:

• Skilled Nursing Facility experience required
• Medicare/Medicaid billing experience required
• Proficiency with Microsoft Office products
• Experience with Point Click Care a plus

Responsibilities:

• Completes daily census worksheet and tracks census for accuracy. Reconcile census worksheet and accounts receivable system census reports. Reconcile to 24-hour nursing report. Adjust accounts receivable and statistical reports as necessary to maintain accurate census records.
• Reconcile monthly census worksheet with accounts receivable monthly census reports and send to the Support Office.
• Obtains face sheet and Admission Packet from admissions and verifies accuracy and completeness Inputs patient master information into the accounts receivable system and updates as necessary for accurate census reporting.
• Verify benefits on all new admissions and monthly thereafter.
• Meet every new Admission Responsible Party and complete the BOM form for each admission and secure accurate financial information.
• Collect all payments due upon Admission and by the 15th of every month thereafter.
• Gathers resident monthly ancillary charges, inputs ancillary charges and adjustments into the computer system. Review monthly ancillary charge list for accurate AR Type allocation.
• Prepares billing forms, reports and/or attachments for third party payer sources.
• Generates and reviews private pay invoices and distributes to responsible party.
• Assures that bills are paid in a timely and accurate manner.
• Notify Administrator of any Involuntary 30-Day Discharge letters needed and coordinate with Senior Director of Revenue Cycle.
• Weekly AR Reviews with Administrator and email to Senior Director of Revenue Cycle as part of Weekly Reports.
• Participate in Monthly AR Reviews with Senior Director of Revenue Cycle.
• Reviews aged receivable reports; research past due accounts; maintains individual collection records on past due patients in an AR Collections Binder.
• Deposit cash receipts via check scanner and post payments in the accounts receivable system and ensure timely deposits.
• Reviews credit balances and request patient refunds. Prepares patient refund records request and send them to the Support Office with following the procedure and process on a weekly basis.
• Answers telephone inquiries and routine correspondence concerning amount of patient account balances.
• Participate in monthly Medicare & Insurance Triple Check, prepares and reviews monthly
• Medicare Part A, Medicare Part B, Insurance Part A and HMO Part B claims and notify the Support Office when ready for submission to for billing.
• Work with each family member/resident to ensure timely and accurate initial certification and recertification for Medicaid benefits.
• Submit Status Request on Medicaid Pending applications and work closely with HHSC to ensure completion of Medicaid Applications, including FSSA and portal checks.
• Weekly Medicaid Pending Reviews with Administrator and email Medicaid Pending Logs to Senior Director of Revenue Cycle as part of Weekly Report.
• Immediately communicate correspondences from fiscal intermediaries and other to the Support Office.
• Submit Medicare Bad Debt and General Bad Debt write offs to Senior Director of Revenue for additional approvals.
• Monitor bad debt level and avoid a significant increase
• Work with Cash Applications Team and have cash reconciled daily and by the 3rd Business Day of every month for Month End Close.
• Review Month End Close reports and work with Senior Director of Revenue Cycle to ensure accurate financials for Operations Team.
• Management of Resident Trust Fund, ensuring Healthcare Management Partners policy and procedures related to Trust Fund management are being followed and upheld.
• All SNF collections
• Medicaid Pending AR balances not to exceed over 120 days old.
• Resident Trust Fund reconciliations are to be completed by the 5th of each month, and Resident Trust Fund audits result with zero deficiencies.
• As this job description is not intended to be all-inclusive, the employee will be expected to perform other duties as assigned.
• Ensure monthly statements are out by the 20th of each month.
• Knowledgeable of patient/resident rights and promotes an atmosphere which allows for the privacy, dignity, and well-being of all residents in a safe, secure environment.