Business Office Manager (Long Term Care)

Job Description

Job Description

Business Office & Human Resources Manager

Palo Duro Nursing Home is seeking a dedicated and experienced Business Office & Human Resources Manager. This dual-role position is responsible for overseeing the financial operations of the Long-Term Care facility as well as providing leadership in human resources functions. The ideal candidate will combine strong business office expertise with a people-first approach to employee relations, ensuring compliance, accuracy, and a supportive workplace environment.

Key Responsibilities

Business Office Functions

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.

Human Resources Functions

Coordinate employee recruitment, onboarding, and orientation processes in partnership with department leaders.

Maintain personnel records and ensure compliance with federal, state, and facility HR policies.

Assist with payroll processing, employee benefits administration, and leave management.

Provide support to department heads and employees on HR-related matters, including policies, performance, and employee relations.

Help facilitate training and development initiatives to support staff growth and regulatory compliance.

Monitor time and attendance records; address payroll discrepancies.

Support workplace safety initiatives and maintain compliance with employment regulations.

Foster a positive and inclusive work culture that values teamwork, respect, and employee engagement.

Qualifications

High school diploma or equivalent required; Associate or Bachelor’s degree in Accounting, Business Administration, Human Resources, or related field preferred.

Minimum of 2 years of business office or HR experience, preferably in a healthcare or long-term care setting.

Knowledge of Medicare, Medicaid, and third-party insurance billing processes.

Familiarity with HR practices, employment law, and regulatory compliance.

Proficiency in Microsoft Office Suite and electronic systems (e.g., PointClickCare, MatrixCare, or HRIS preferred).

Strong organizational, communication, and interpersonal skills.

Ability to manage multiple priorities in a fast-paced environment.

Understanding of HIPAA, financial compliance, and employment regulations in healthcare.

Work Environment

This position operates in a professional office environment within a healthcare facility. Regular interaction with residents, families, and interdisciplinary staff teams is expected. Occasional lifting of files or office supplies may be required.

Equal Opportunity Employer