Question
2-5

Business Office Manager Billing experience/Payroll HR

1/9/2026

The Business Office Manager is responsible for overseeing financial operations, including billing, collections, payroll, and reporting. They will also lead budgeting processes and ensure compliance with regulations and policies.

Working Hours

40 hours/week

Language

English

Visa Sponsorship

No

About The Company

No description available for this Company.

About the Role

Description

 

Major Duties and Responsibilities 

Financial Operations and Reporting 

  • Develop, plan, direct, and oversee the overall financial operations, accounting, and reporting for the facility. This includes managing all financial and business functions related to accounts payable/receivable, billing, collections, payroll, taxation, purchasing, cash flow, etc. 
  • Ensure financial processes, transactions, and reporting comply with generally accepted accounting principles, regulations, laws, and facility policies and procedures 

Performance Monitoring and Analysis 

  • Produce monthly financial statements, income statements, and cost reports to analyze performance and financial health 
  • Develop and monitor key performance indicators related to financial goals and outcomes. Work with department heads to identify areas for improvement based on KPI measurements and trends. 

Budgeting 

  • Lead the budget development process on an annual and as-needed basis with input from department heads 
  • Create short-term and long-term financial forecasting and budget projections. Present budgets to administrator and board of directors/governing body. 

Billing and Collections 

  • Oversee patient billing process to ensure timely and accurate claims submission 
  • Develop systems to effectively manage accounts receivable. Routinely analyze and report on accounts receivables and collection issues. 

Supervision and Staff Management 

  • Recruit, hire, supervise, and evaluate business office staff to build a capable team 
  • Set clear expectations for business office team performance and service excellence. Address performance issues. 
  • Facilitate meetings, committees, and activities involving business office team 

Regulatory and Policy Knowledge 

  • Maintain working, current knowledge of regulations, laws, and programs related to Medicare/Medicaid, private insurance, skilled nursing/LTC finance and reimbursement policy that impact fiscal performance 

Additional Tasks and Requirements 

  • Treat all residents with dignity and respect 
  • Comply with all policies, procedures, regulations 
  • Maintain confidentiality of protected health information 
  • Report any noncompliance, retaliation, discrimination 
  • Report allegations of abuse or neglect 
  • Follow infection control practices 
  • Complete all required training 
  • Meet general health and physical requirements 

Requirements


  • Bachelor’s degree in Accounting, Business Administration or related field preferred. 
  • 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. 
Key Skills
Financial OperationsReportingBudgetingBillingCollectionsPayrollSupervisionStaff ManagementRegulatory KnowledgePolicy KnowledgePerformance MonitoringAnalysisAccounts PayableAccounts ReceivableTaxationPurchasingCash Flow
Categories
HealthcareManagement & LeadershipFinance & AccountingHuman ResourcesAdministrative
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