Castro County Nursing & Rehabilitation is seeking a dedicated and experienced Business Office Manager. The Business Office Manager (BOM) is responsible for overseeing all business operations of the Long Term Care facility, including billing, collections, payroll, accounts payable/receivable, and resident trust accounts. The BOM ensures compliance with federal, state, and facility policies while providing excellent customer service to residents, families, and staff. Key Responsibilities: • 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. • Other duties as assigned Qualifications: • High school diploma or equivalent required; Associate or Bachelor’s degree in Accounting, Business Administration, or related field preferred. • Minimum of 2 years of business office experience, preferably in a healthcare or long-term care setting. • Knowledge of Medicare, Medicaid, and third-party insurance billing processes. • Proficiency in Microsoft Office Suite and electronic billing systems (e.g., PointClickCare or MatrixCare preferred). • Strong organizational, communication, and interpersonal skills. • Ability to manage multiple priorities in a fast-paced environment. • Understanding of HIPAA and financial compliance regulations in healthcare. Work Environment: This position operates in a professional office environment within a healthcare facility. Occasional lifting of files or office supplies may be required. Regular interaction with residents, families, and interdisciplinary staff teams is expected. Equal Opportunity Employer