POSITION OVERVIEW
The Corporate Traveling Business Office Manager provides temporary coverage,
operational support, training, and oversight to Business Office departments
throughout the organization. This position travels to assigned facilities to
cover vacancies and leaves of absence, support focus facilities, train and
onboard Business Office Managers, strengthen financial processes, and ensure
compliance with corporate policies and applicable regulatory requirements.
The Corporate Traveling Business Office Manager performs all essential
facility-level Business Office Manager responsibilities when providing coverage
and serves as a resource to facility leadership, Regional Business Office
Managers, the Senior Regional Business Office Manager, and the Corporate
Business Office team.
SUPERVISORY RESPONSIBILITIES
May provide temporary supervision and direction to facility receptionists,
Accounts Payable staff, Business Office personnel, or other assigned employees
while providing facility coverage.
TRAVEL REQUIREMENTS
Frequent travel to assigned facilities is required. Travel may include extended
assignments and overnight stays based on organizational needs. The employee must
maintain a valid driver’s license, an acceptable driving record, and reliable
transportation.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
FACILITY COVERAGE AND OPERATIONAL SUPPORT
• Travel to assigned facilities to cover vacant Business Office Manager
positions, vacations, leaves of absence, transitions, and other operational
needs.
• Perform all responsibilities of the facility Business Office Manager during
temporary assignments.
• Support focus facilities with accounts receivable, Medicaid applications,
collections, census management, deposits, reconciliations, and other assigned
priorities.
• Support regional and facility leadership during acquisitions, management
transitions, staffing changes, survey preparation, and corrective-action
initiatives.
• Evaluate Business Office operations and identify incomplete, inaccurate, or
overdue work.
• Develop and execute action plans to bring assigned facilities into compliance
with corporate standards and established deadlines.
• Assist with clearing dashboards, census discrepancies, billing holds,
outstanding balances, and incomplete Business Office assignments.
• Provide timely reports to the Senior Regional Business Office Manager
regarding facility performance, financial risks, training needs, outstanding
concerns, and corrective actions.
• Maintain professional relationships with residents, responsible parties,
facility leadership, employees, vendors, government agencies, and corporate
departments.
CENSUS AND BILLING
• Verify the accuracy of the facility’s daily census and resident payer
classifications, including Medicare, Medicaid, private pay, managed care, and
other payer sources.
• Reconcile census information between clinical, billing, admissions, and
accounting systems.
• Identify and resolve census discrepancies promptly.
• Generate and maintain complete and accurate information necessary to bill
residents and third-party payers timely.
• Review claims and supporting documentation as part of the triple-check
process.
• Complete billing-log reconciliation and ensure required information is
submitted within established deadlines.
• Coordinate with Admissions, Nursing, Medical Records, Therapy, MDS, and
corporate billing personnel to resolve billing concerns.
ACCOUNTS RECEIVABLE AND COLLECTIONS
• Manage facility-level accounts receivable activities during assigned coverage
periods.
• Participate directly in the accounts receivable collection process, including
pursuing delinquent accounts.
• Contact residents, family members, responsible parties, insurers, and other
payer sources regarding outstanding balances.
• Establish and maintain effective communication with individuals responsible
for payment of resident-care services.
• Process and document approved ACH and credit-card payments.
• Monitor aging reports and identify balances requiring immediate action or
escalation.
• Maintain accurate collection notes, payment arrangements, supporting
documentation, and follow-up dates.
• Escalate high-risk, disputed, or potentially uncollectible accounts to the
appropriate corporate or regional leader.
• Assist facilities with reducing outstanding accounts receivable and meeting
established collection goals.
MEDICAID APPLICATIONS
• Assist with the completion, submission, tracking, and follow-up of Medicaid
applications.
• Verify that required financial and eligibility documentation is collected and
maintained.
• Communicate with residents, responsible parties, caseworkers, and applicable
agencies regarding pending applications.
• Monitor application deadlines and outstanding requests for information.
• Maintain accurate documentation of application status and follow-up activity.
• Escalate delayed, denied, or high-risk applications according to corporate
procedures.
CASH RECEIPTS AND DEPOSITS
• Maintain responsibility for facility cash receipts while providing coverage.
• Prepare and complete deposits daily in accordance with corporate policies and
procedures.
• Process ACH and credit-card payments accurately and securely.
• Maintain appropriate supporting documentation for all payments and deposits.
• Coordinate cash reconciliation with corporate billing personnel and other
responsible departments.
• Investigate and resolve discrepancies promptly.
• Protect resident and facility funds and maintain appropriate internal
controls.
RESIDENT TRUST ACCOUNTS
• Maintain accurate and complete records for resident funds held in trust by the
facility.
• Process resident trust transactions in accordance with corporate policies and
applicable regulatory requirements.
• Complete resident trust reconciliations accurately and timely.
• Investigate and resolve discrepancies.
• Maintain confidentiality and safeguard resident financial information and
property.
ACCOUNTS PAYABLE
• Maintain facility workflows for invoice review, coding, approval, and
submission.
• Ensure invoices are entered and processed accurately and within established
deadlines.
• Monitor the timeliness and accuracy of invoice coding and approvals.
• Work with the Corporate Accounts Payable Department to resolve vendor and
reconciliation concerns.
• Communicate professionally with vendors regarding account questions, missing
documentation, and payment status.
• Ensure required supporting documentation is maintained.
MONTH-END CLOSING
Complete all month-end closing responsibilities accurately and within
established deadlines, including:
• Census reconciliation.
• Cash reconciliation in coordination with corporate billing personnel.
• Claims review and triple-check participation.
• Billing-log reconciliation and completion.
• Review of invoice entry, approval, and proper coding.
• Completion of the month-end closing checklist.
• Resident trust reconciliation.
• Accounts receivable review and collection follow-up.
• Resolution or escalation of outstanding discrepancies.
• Submission of required reports and supporting documentation.
TRAINING AND ONBOARDING
• Train and onboard newly hired Business Office Managers and other assigned
Business Office personnel.
• Educate staff regarding corporate policies, standard operating procedures,
internal controls, documentation standards, and performance expectations.
• Provide training in daily census management, Medicaid applications, deposits,
ACH and credit-card payments, accounts receivable, collections, accounts
payable, resident trust accounts, triple check, billing-log reconciliation,
month-end closing, dashboards, reports, and applicable financial systems.
• Evaluate the trainee’s understanding and ability to independently complete
assigned responsibilities.
• Provide coaching, feedback, retraining, and follow-up support when necessary.
• Communicate onboarding progress and identified concerns to the Senior Regional
Business Office Manager.
• Assist with developing and implementing standardized Business Office
procedures and training materials.
COMPLIANCE, AUDITING, AND PROCESS IMPROVEMENT
• Review Business Office practices for compliance with corporate policies, payer
requirements, and applicable regulations.
• Assist with internal audits, corrective-action plans, and follow-up
monitoring.
• Identify financial, documentation, workflow, and compliance risks.
• Maintain the confidentiality of resident, employee, and organizational
information.
• Apply performance-improvement principles, tools, and techniques to daily work.
• Collect and analyze operational information to identify opportunities for
improvement.
• Recommend practical solutions to strengthen accuracy, efficiency,
accountability, and service.
• Establish and maintain reporting mechanisms to measure results.
• Support facilities in implementing and sustaining corrective actions.
LEADERSHIP AND PROFESSIONAL RESPONSIBILITIES
• Establish clear expectations and promote an environment of accountability.
• Demonstrate sound judgment, initiative, flexibility, and the ability to
prioritize competing responsibilities.
• Model the organization’s mission, values, policies, and professional
standards.
• Build productive working relationships with facility, regional, and corporate
teams.
• Treat residents, family members, employees, and business partners with dignity
and respect.
• Demonstrate honesty and integrity in the management of resident and facility
funds and property.
• Attend and participate in relevant facility, regional, and corporate meetings.
• Participate in required in-service education and continuing-education
programs.
• Maintain knowledge of facility emergency and disaster procedures while working
at an assigned location.
• Complete other duties, projects, and assignments as directed.
REQUIRED QUALIFICATIONS
• Strong organizational and time-management skills, including the ability to
manage multiple priorities and deadlines.
• Strong interpersonal, written, and verbal communication skills.
• Experience with accounts receivable, collections, Medicaid applications,
billing, accounts payable, cash management, resident trust accounts, and
financial reconciliations.
• Ability to work independently, assess facility needs, and achieve measurable
outcomes with limited onsite supervision.
• Ability to communicate effectively with executives, managers, employees,
residents, responsible parties, vendors, government agencies, and members of the
public.
• Proficiency with Microsoft Outlook, Word, Excel, email, internet applications,
accounting systems, billing software, and other job-related technology.
• Ability to maintain confidentiality and appropriately handle sensitive
financial, resident, and organizational information.
• Ability and willingness to travel frequently and remain onsite for extended
assignments when required.
• Valid driver’s license, acceptable driving record, and reliable
transportation.
• Ability to satisfy all applicable background-screening, health, and employment
requirements.
• Must remain free from the use and effects of drugs and alcohol in the
workplace.
• Individuals found guilty by a court of law of abusing, neglecting, or
mistreating individuals in a healthcare-related setting are ineligible for
employment in this position.
EDUCATION AND EXPERIENCE
• An associate or bachelor’s degree in accounting, finance, business
administration, healthcare administration, or a related field is preferred.
• 10+ years of relevant experience may be considered in place of a degree.
• Previous Business Office Manager experience in skilled nursing, long-term
care, senior living, or another healthcare setting is strongly preferred.
• Experience training, onboarding, auditing, or supporting Business Office staff
across multiple locations is preferred.
LANGUAGE SKILLS
Ability to prepare reports, business correspondence, training materials, and
policy and procedure documentation. Ability to present information effectively
and respond professionally to questions from executives, managers, employees,
residents, responsible parties, customers, vendors, and the public.
REASONING ABILITY
Ability to define and solve problems, collect and analyze information, establish
facts, identify risks, and draw valid conclusions. Must be able to interpret
technical instructions, financial reports, policies, procedures, and regulatory
requirements while managing multiple priorities.
PHYSICAL DEMANDS
The physical demands described are representative of those required to perform
the essential functions of the position. The employee is frequently required to
stand, walk, sit, use a computer, reach with hands and arms, communicate, and
hear.
The position may require sitting or driving for extended periods and
occasionally lifting or moving objects weighing approximately 25 pounds.
Specific vision requirements include close, distance, and peripheral vision.
Reasonable accommodations may be provided to qualified individuals with
disabilities to enable them to perform the essential functions of the position.
WORK ENVIRONMENT
The employee will work in corporate and healthcare-facility environments. The
noise level is generally moderate. The position requires frequent travel,
adaptability to different facility environments, and potential overnight stays.
The employee may encounter stressful situations involving collections, financial
concerns, staffing vacancies, regulatory deadlines, or operational challenges.
JOB DESCRIPTION ACKNOWLEDGMENT
I acknowledge that I have received, reviewed, and understand this job
description and the requirements of the Corporate Traveling Business Office
Manager position.
I understand that this job description summarizes the primary responsibilities
of the position and is not intended to contain a complete list of every duty
that may be assigned. I understand that my responsibilities may be modified
based on operational or organizational needs.
I understand that I am responsible for asking my supervisor or Human Resources
for clarification regarding any responsibility or expectation that I do not
understand. I also understand that reasonable accommodation may be available to
qualified individuals with disabilities in accordance with applicable law.
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