Big Meadows • Frontier Hollow • Lyndon Play and Learn Center • Lyndon Progress Center • Pinnacle Place • S.T.R.I.V.E. • Winning Wheels.

 

Regional Business Office Manager (RBOM)

Job Title: Regional Business Office Manager (RBOM)

Organization: STRIVE, WINNING WHEELS AND BIG MEADOWS

Reports to: Director of Finance

Position Summary

The Regional Business Office Manager (RBOM) provides leadership, oversight, and operational support to multiple facilities. This role is responsible for ensuring strong revenue cycle performance, regulatory compliance, and financial integrity across facilities serving Medicare, Medicaid, and Private Pay residents.

The RBOM partners closely with Administrators, Administrative Assistants, Admissions, and Clinical leadership to drive cash collections, reduce AR aging, support payer compliance, and standardize best practices.

Essential Duties & Responsibilities

Revenue Cycle Oversight
  • Oversee accounts receivable (AR) performance across assigned facilities
  • Monitor key metrics including:
    • AR days outstanding
    • 90/120+ aging
    • Bad debt and write-offs
    • Medicaid pending balances
  • Identify trends and implement corrective action plans
Trust Fund
  • Facilitate Trust Fund at Winning Wheels
  • Oversee Administrative Assistants facilitation of Trust Fund at STRIVE and Big Meadows
Banking and Cash Posting
  • Complete Cash/Check Deposits as assigned
  • Post cash/check payments in PCC for all locations
  • Enter Social Security payments in PCC for all locations
Medicaid Management
  • Oversee Medicaid pending processes and documentation requirements
  • Ensure timely submission of Medicaid applications and redeterminations
  • Monitor eligibility status and resolve coverage interruptions
  • Partner with Social Services and families to prevent prolonged pending balances
Private Pay & Collections
  • Ensure financial responsibility is clearly communicated at admission
  • Oversee private pay collections and payment plan monitoring
  • Review delinquent accounts and establish collection strategies
  • Ensure proper documentation of resident trust accounts (if applicable)
Billing
  • Create Patient Liability and Statements for Winning Wheels
  • Create Patient Liability and Private Statements for Big Meadows
Leadership & Staff Development
  • Standardize business office workflows and internal controls across facilities
  • Conduct business office audits to ensure compliance and accuracy
Admissions & Census Coordination
  • Partner with Admissions to verify payer source and financial eligibility prior to admission
  • Ensure payer authorizations are secured and documented
  • Develop a system to monitor daily census reports for payer accuracy and reconciliation
Compliance & Regulatory Oversight
  • Ensure compliance with federal and state billing regulations
  • Maintain readiness for financial audits and surveys
  • Oversee adherence to policies regarding financial agreements and disclosures
  • Ensure confidentiality and HIPAA compliance in financial processes
Reporting & Communication
  • Present AR and revenue cycle updates

Qualifications

  • Minimum 5 years of SNF business office experience
  • Strong knowledge of:
    • Medicare Part A billing requirements
    • Medicaid eligibility and pending processes
    • Private pay collections
    • Managed care coordination (if applicable)
  • Experience with SNF EHR and billing systems (e.g., PointClickCare or similar)
  • Strong analytical and problem-solving skills
  • Ability to travel regionally as required

Core Competencies

  • Revenue cycle management
  • Financial analysis
  • Regulatory knowledge
  • Leadership and coaching
  • Process improvement
  • Communication and collaboration

Work Environment

  • Regional travel required
  • Combination of on-site facility support and remote oversight