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Business Office Manager

Sienna Healthcare
Blair, NE Full Time
POSTED ON 4/9/2025
AVAILABLE BEFORE 5/7/2025
Business Office Manager (BOM)- Nursing Home

Position Summary: The Business Office Manager (BOM) is responsible for the financial and administrative functions of the facility, ensuring smooth operations in billing, collections, payroll, and resident financial services. Reporting directly to the Administrator, the BOM will assist as needed in various administrative tasks, demonstrating strong organizational, leadership, and communication skills to support both residents and staff. This role is critical in maintaining compliance with all regulatory requirements while ensuring the facility runs efficiently.

Key Responsibilities

  • Maintains daily ledger entries and daily census reports.
  • Completes monthly billings and statements for both private pay and public aide resident.
  • Coordinate with admissions and verify insurance/Medicaid/Medicare coverage.
  • Act as a liaison between families, residents, and insurance providers regarding billing issues.
  • Handles petty cash transactions.
  • Oversee resident trust accounts and ensure compliance with regulations.
  • Manage day-to-day business office operations, including billing, collections, payroll, and accounts payable/receivable.
  • Prepares payroll from timecards or system.
  • Assist with new hire orientation and add new hires into the system.
  • Records invoices for facility and forwards to the Corporate Office.
  • Receives and receipts payments.
  • Prepares and makes bank deposits.
  • Maintains current, complete and confidential resident business files.
  • Maintains close contact with the Corporate Office concerning payroll.
  • Support audits, surveys, and inspections by ensuring documentation is complete and accurate.
  • Attend daily and weekly meetings.
  • Manage the front desk receptionist, including scheduling, training, and supervision. Provide coverage at the front desk during receptionist absences.


Ø Additional Note: This description outlines the primary duties and responsibilities of the position. However, the role may include other duties and tasks as assigned by the supervisor or management. Flexibility and willingness to assist with various tasks as needed are essential aspects of this role.

Required Skills And Qualifications

  • General secretarial duties such as filing, typing and record keeping are required.
  • Minimum 2-3 years of experience in a business office setting, preferably in long-term care or healthcare.
  • Experience with Medicare, Medicaid, and private insurance billing required.
  • Education: Bachelor's Degree in Business Adminision or a related field preffered, but not less than an associates degree in a related field.

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