Business Office Manager

Business Office Manager (Skilled Nursing Facility)

Rose Hill Health & Rehab Center | Berryville, VA

Rose Hill Health & Rehab Center is seeking an experienced and detail-oriented Business Office Manager to oversee the daily financial and administrative operations of our skilled nursing and rehabilitation facility. This position plays a vital role in ensuring accurate billing, collections, resident trust accounting, and business office functions while supporting residents, families, and our interdisciplinary leadership team.

The ideal candidate is organized, customer-service focused, and experienced in healthcare billing, accounts receivable management, and office operations.

The Business Office Manager directs and performs the facility's business office functions under the supervision of the Administrator and in accordance with company policies, sound accounting practices, and federal and state regulations.

• Manage Medicare, Medicaid, Managed Care, Private Pay, and other third-party billing processes.
• Ensure accurate and timely monthly resident billing.
• Monitor accounts receivable and aggressively pursue collection of outstanding balances.
• Follow up with insurance payers, residents, and responsible parties regarding claims and unpaid accounts.
• Obtain and maintain documentation required for billing and reimbursement.
• Assist residents and families with billing questions and payment arrangements.

• Maintain financial records including accounts receivable, accounts payable, cash receipts, cash disbursements, payroll-related records, and general ledger information.
• Prepare and submit required financial, census, and operational reports.
• Ensure daily bank deposits are completed and documented accurately.
• Reconcile facility cash accounts and banking records.
• Support audits, year-end reporting, and reimbursement activities.

• Maintain accurate accounting records for resident trust funds.
• Complete monthly reconciliations and quarterly resident trust statements.
• Ensure compliance with all regulatory requirements related to resident funds.
• Reconcile resident trust petty cash and monitor balances.

• Participate in the admission process by explaining rates, billing cycles, payment expectations, and financial responsibilities.
• Collect admission-related payments as required.
• Provide professional and compassionate service to residents, families, and responsible parties.

• Supervise business office support staff as assigned.
• Collaborate with department leaders to support facility operations.
• Attend department head meetings and required training programs.
• Maintain current knowledge of healthcare billing regulations and reimbursement practices.

• High school diploma or equivalent.
• Minimum of 2 years of experience in business office, billing, accounting, healthcare administration, or revenue cycle management.
• Strong organizational skills and attention to detail.
• Proficiency with Microsoft Office, including Excel and Outlook.
• Excellent communication, customer service, and problem-solving skills.

• Associate's or Bachelor's degree in Business Administration, Accounting, Finance, Healthcare Administration, or related field.
• Experience in a skilled nursing facility, long-term care, rehabilitation center, or healthcare setting.
• Working knowledge of Medicare, Medicaid, managed care, and private pay billing.
• Familiarity with Point Click Care  or similar healthcare software systems.

• A team player who promotes a positive and collaborative work environment.
• A professional who can balance accuracy, compliance, and exceptional customer service.
• Someone who values integrity, accountability, and compassionate care for seniors.

• Competitive salary
• Health, dental, and vision insurance
• Paid time off
• 401(k)
• Professional development opportunities
• Supportive leadership team

Rose Hill Health & Rehab Center is an Equal Opportunity Employer committed to providing quality care and service to our residents and families.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.