Business Office Manager; Long Term Care

Business Office & Human Resources Manager

Palo Duro Nursing Home is seeking a dedicated and experienced Business Office & Human Resources Manager. This dual-role position is responsible for overseeing the financial operations of the Long-Term Care facility as well as providing leadership in human resources functions. The ideal candidate will combine strong business office expertise with a people-first approach to employee relations, ensuring compliance, accuracy, and a supportive workplace environment.

Business Office Functions

• Manage the day-to-day operations of the business office, ensuring accuracy and efficiency in financial and administrative functions.

• Coordinate billing for Medicare, Medicaid, private pay, and third-party insurance payers.

• Monitor and manage resident accounts, including monthly statements, collections, and payment arrangements.

• Maintain accurate census records and collaborate with admissions and clinical teams to ensure billing accuracy.

• Process accounts payable and ensure timely payments to vendors.

• Administer and reconcile resident trust accounts in accordance with regulatory requirements.

• Serve as the primary contact for financial inquiries from residents and their families.

• Prepare and submit required reports to corporate office and regulatory agencies.

• Train, supervise, and support business office staff (if applicable).

• Participate in audits and assist with survey preparedness related to financial operations.

• Protect resident confidentiality and handle all financial data with integrity and discretion.

Human Resources Functions

• Coordinate employee recruitment, onboarding, and orientation processes in partnership with department leaders.

• Maintain personnel records and ensure compliance with federal, state, and facility HR policies.

• Assist with payroll processing, employee benefits administration, and leave management.

• Provide support to department heads and employees on HR-related matters, including policies, performance, and employee relations.

• Help facilitate training and development initiatives to support staff growth and regulatory compliance.

• Monitor time and attendance records; address payroll discrepancies.

• Support workplace safety initiatives and maintain compliance with employment regulations.

• Foster a positive and inclusive work culture that values teamwork, respect, and employee engagement.

• High school diploma or equivalent required;
  Associate or Bachelor’s degree in Accounting, Business Administration, Human Resources, or related field preferred.

• Minimum of 2 years of business office or HR experience, preferably in a healthcare or long-term care setting.

• Knowledge of Medicare, Medicaid, and third-party insurance billing processes.

• Familiarity with HR practices, employment law, and regulatory compliance.

• Proficiency in Microsoft Office Suite and electronic systems (e.g., Point Click Care , Matrix Care, or HRIS preferred).

• Strong organizational, communication, and interpersonal skills.

• Ability to manage multiple priorities in a fast-paced environment.

• Understanding of HIPAA, financial compliance, and employment regulations in healthcare.

This position operates in a professional office environment within a healthcare facility. Regular interaction with residents, families, and interdisciplinary staff teams is expected. Occasional lifting of files or office supplies may be required.

Equal Opportunity Employer