Job Description

Job Title: Regional Business Office Manager (RBOM)

Job Location: Ohio, Northern KY and FL

Job Type: Full-time

Salary: Negotiable

Job Summary

We are seeking a highly motivated and experienced

Regional Business Office Manager

to oversee and support the business office operations across multiple long-term care communities. This role is ideal for a detail-oriented professional who excels in financial management, billing, collections, and regulatory compliance while providing exceptional support and guidance to Business Office Managers in our facilities.

Key Responsibilities

Oversee and support the business office operations at assigned long-term care facilities within the region. Ensure accurate and timely billing, collections, resident trust accounting, and Medicaid/Medicare/insurance reimbursement processes. Monitor accounts receivable and implement strategies to reduce outstanding balances. Train, mentor, and provide ongoing support to facility business office managers and staff. Conduct audits of business office practices to ensure compliance with company policies and state/federal regulations. Prepare and analyze financial reports to identify trends, risks, and opportunities for improvement. Serve as a liaison between corporate leadership and facility-level business office operations. Plan, develop, organize, implement, evaluate and direct the overall financial operation of the facility as well as its programs and activities, in accordance with generally accepted accounting principles and current state and federal laws/regulations. Report the facility's financial performance at least monthly, and more frequently as needed, to the Administrator and the Board of Managers, Directors, and/or governing body as directed. Identifies, in conjunction with the Administrator and selected department heads, the facility's key performance financial indicators. Establishes an ongoing system to monitor these key indicators. These key performance indicators promote the fiscal health of the facility. Evaluates key performance indicator outcomes with department heads to determine the need for action from leadership and/or management such as re-education or revisions related to the facility's financial outcomes. Develops and implements processes and systems in the Business Office to manage billing, collections (A/R), accounts payable (A/P), patient trust, liability notices, general ledger functions, business/payroll taxes, purchase orders, cash flow and all necessary business transactions using generally accepted accounting principles. Ensures the Business Office procedures comply with regulatory requirements related to bed-hold notice requirements. Develop and implement payroll accounting processes, including special accounting functions required by any employee benefit or retirement plans, insurance accounting required by the federal Family and Medical Leave Act, etc. Produces monthly facility income statement. Prepares financial records and cost reports for submission to authorized government agencies as required by current regulations. Other duties as assigned.

Qualifications

Associate's or Bachelor's degree in Accounting, Finance, Business Administration, or related field (preferred). Minimum 3-5 years of experience in business office management in long-term care or healthcare required; regional/multi-site experience strongly preferred. Strong knowledge of Medicare, Medicaid, private insurance billing, and collection processes.

Excellent organizational, analytical, and leadership skills.
Ability to travel regularly within the assigned region. Must have at least three (3) years of experience in a billing or supervisory capacity in the business office of a hospital, nursing home, or other related health care facility. Knowledgeable of skilled nursing home regulations, procedures, laws, regulations and guidelines pertaining to long-term care.

Benefits

Competitive Wages and Benefits Package 401(K) Plan Paid Time Off Positive and compassionate environment Supportive Leadership team * Additional incentives