Business Office Manager

# Business Office Manager Hatties Bay Middleton - Middleton, WI 53562

Start Date   10/11/2026

End Date   10/31/2026## Overview Salary Range $65,000.00 - $75,000.00 Salary Level Experienced Position  Type Full Time Job Shift Day## Description Position Summary The Business Office Manager (BOM) is responsible for overseeing the financial, administrative, and human resource functions of the community. This role ensures accurate billing, payroll coordination, regulatory compliance, and efficient business operations while supporting leadership and maintaining a high standard of professionalism.

Key Responsibilities:

Financial Management
* Manage resident billing, including private pay, long-term care insurance, and other payer sources (MCO)
* Ensure accurate and timely invoicing, collections, and account reconciliation
* Monitor accounts receivable and follow up on outstanding balances
* Maintain resident trust accounts and ensure proper documentation and reconciliation
* Assist with budgeting, expense tracking, and financial reporting
* Assist with invoice paying, reconciliations as needed

Payroll & HR Coordination
* Process or coordinate payroll submissions, ensuring accuracy of hours, PTO, and overtime
* Maintain employee personnel files in compliance with state and company requirements
* Support onboarding, orientation, and offboarding processes
* Assist with conducting background checks in accordance with regulatory and company requirements
* Track and ensure compliance with background checks, training, and certifications

Administrative Operations
* Serve as the primary point of contact for office operations and administrative support
* Maintain organized and compliant records for residents and staff
* Support leadership with reporting, audits, and operational tracking
* Coordinate vendor invoices, contracts, and payments

Compliance & Regulatory Support
* Ensure compliance with state regulations (DHS 83, 89 as needed) related to financial and administrative functions
* Maintain documentation required for surveys and audits
* Assist leadership in preparing for and responding to regulatory reviews

Customer Service & Communication
* Serve as a resource for residents and families regarding billing questions and financial matters
* Communicate professionally and promptly with internal teams, vendors, and external partners
* Maintain confidentiality of all resident and employee information## Qualifications Qualifications
* Associate’s or Bachelor’s degree in Business, Accounting, Healthcare Administration, or related field preferred
* Minimum 2–3 years of experience in business office, billing, or administrative operations (senior living or healthcare preferred)
* Strong understanding of accounts receivable, billing, and payroll processes
* Experience with senior living software/EHR systems preferred

Skills & Competencies
* High level of organization and attention to detail
* Ability to manage multiple priorities in a fast-paced environment
* Strong communication and problem-solving skills
* Professional, accountable, and able to work independently
* High level of discretion with sensitive financial and personnel information

Work Environment
* Primarily onsite within a senior living community
* Frequent interaction with staff, residents, families, and leadership
* May require occasional flexibility based on operational needs

Position Expectations This role is critical to the overall success of the community. The Business Office Manager is expected to:
* Maintain accuracy, compliance, and accountability in all financial and administrative functions
* Support leadership in driving operational efficiency
* Ensure business operations run smoothly and without disruption