Regional Business Office Manager (RBOM)

Position Summary

We are seeking an experienced and results-driven Regional Business Office Manager (RBOM) to provide leadership, oversight, and support to Business Office teams across an assigned region.

This position is ideal for a strong revenue cycle leader who understands skilled nursing business office operations, accounts receivable, Medicaid Pending, Private Pay, Patient Liability, pre-billing processes, and the importance of developing high-performing Business Office Managers.

The RBOM will be responsible for driving regional collection performance, identifying and resolving revenue barriers, ensuring strong business office processes, and providing hands-on training, mentorship, and accountability to facility Business Office teams.

This is a regional position requiring travel to assigned facilities as needed.

Key Responsibilities

• Provide leadership and oversight to Business Office Managers within the assigned region.

• Drive regional cash collections and accounts receivable performance with a strong focus on Private Pay, Patient Liability, and Medicaid Pending accounts.

• Review AR aging and identify collection barriers, trends, high-risk accounts, and opportunities for improvement.

• Ensure Medicaid Pending cases are actively worked, appropriately documented, escalated, and followed through resolution.

• Oversee facility pre-billing processes to support accurate, timely, and clean claim submission.

• Monitor business office operations for compliance with company policies and applicable state and federal requirements.

• Train, mentor, and develop Business Office Managers to strengthen performance and operational knowledge.

• Coordinate and support onboarding and training of newly hired Business Office Managers.

• Conduct facility site visits, audits, account reviews, and operational assessments.

• Partner with Administrators and Regional Operations leadership to address facility-level revenue cycle concerns.

• Collaborate with Admissions, Social Services, MDS, Clinical, and other departments to resolve issues affecting reimbursement and collections.

• Participate in AR reviews and regional leadership meetings and provide clear updates regarding performance, barriers, risks, and action plans.

• Ensure appropriate Business Office coverage during vacancies, PTO, acquisitions, transitions, or other operational needs.

• Promote a culture of accountability, urgency, collaboration, accuracy, and continuous improvement throughout the region.

What We’re Looking For

The successful candidate will be a hands-on leader who can analyze AR, identify the root cause of a problem, develop an action plan, and coach the facility team through execution.

Preferred qualifications include:

• Previous skilled nursing, long-term care, healthcare revenue cycle, or Business Office experience.

• Experience with Oregon & Washington Medicaid, including Medicaid eligibility, Medicaid Pending processes, Patient Liability, and related long-term care requirements, strongly preferred.

• Strong knowledge of accounts receivable and collection practices.

• Experience with Medicaid, Medicaid Pending, Medicare, Managed Care, Private Pay, and Patient Liability preferred.

• Previous Business Office Manager or multi-facility leadership experience strongly preferred.

• Strong understanding of billing, pre-billing, eligibility, authorization, and collection processes.

• Ability to analyze AR reports and turn findings into measurable action.

• Strong leadership, training, communication, organization, and problem-solving skills.

• Ability to hold teams accountable while providing appropriate coaching and support.

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

• Comfortable working collaboratively with facility and regional Operations leadership.

• Ability and willingness to travel throughout the assigned region as needed.

Education & Experience

Associate degree in a business-related field or equivalent relevant experience preferred. Previous healthcare Business Office operations experience is strongly preferred. Washington and Oregon Medicaid experience is highly preferred.

Why This Role Matters

Our Regional Business Office Managers are more than account reviewers. They are leaders, trainers, problem-solvers, and revenue advocates for their regions.

The right candidate will know how to get into the details when necessary while developing Business Office teams that can independently execute strong processes, protect revenue, and deliver results.

If you are passionate about developing people, improving processes, solving complex revenue cycle challenges, and making a measurable financial impact, we would love to hear from you.