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Business Office Manager

PACS Group

Business Office Manager

full-timePosted: Jan 28, 2026

Job Description



Business Office Manager (BOM)

Oakwood Gardens Care Center – Fresno, CA
Status: Full-Time
Salary: Competitive, Based on Experience



Position Summary

Oakwood Gardens Care Center is seeking an experienced Business Office Manager (BOM) with Skilled Nursing Facility (SNF) and billing experience to oversee all business office operations. The BOM is responsible for managing billing, authorizations, trust accounts, census reporting, and supervision of business office staff while ensuring compliance with state and federal regulations.



Essential Duties & Responsibilities
  • Obtain managed care and Medi-Cal/Medicaid authorizations, including bed holds

  • Assist with managing resident trust accounts, including printing and distributing monthly statements

  • Supervise business office staff, including coaching, performance management, and disciplinary actions as appropriate

  • Maintain accurate census records and report status changes

  • Attend stand-up meetings as requested by the Administrator

  • Assist residents and families with Medi-Cal/Medicaid applications

  • Prepare TARs as needed

  • Track Medi-Cal and Medicaid redeterminations

  • Participate in billing and payment processes, including preparing bank deposits

  • Undertake collection activity for bad debts

  • Complete operational requirements by scheduling and assigning employees and following up on work results



Supervisory Requirements
  • Assist with the overall supervision and management of the business office staff



Qualifications

Education and/or Experience

  • High school diploma or equivalent required

  • Strong understanding of Skilled Nursing billing and payment processes

  • SNF billing experience required

  • Minimum one year of experience in a long-term care facility preferred

  • Proficient computer skills with Microsoft Office products



Language Skills
  • Ability to read and comprehend technical procedures, policies, and procedure manuals

  • Ability to effectively present information and respond to questions from managers and employees



Mathematical Skills
  • Ability to apply fractions, percentages, ratios, and proportions to practical situations



Reasoning Ability
  • Ability to solve practical problems

  • Ability to interpret instructions furnished in written, oral, diagram, or schedule form



Certificates, Licenses & Registrations
  • Knowledge and experience with PCC strongly preferred



Physical Demands

The essential functions of this position require the following physical abilities. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

  • Prolonged use of computer systems

  • Frequent standing and/or walking

  • Occasional sitting

  • Frequent reaching, pushing, and pulling

  • Frequent talking and/or hearing

  • Frequent lifting up to 50 pounds

  • Occasional climbing, balancing, stooping, kneeling, crouching, or crawling

  • Vision abilities include close, distance, color, peripheral, and depth perception, with the ability to adjust focus



Work Environment

The work environment characteristics described here are representative of those encountered while performing the essential functions of this job. Reasonable accommodations may be made.

  • Noise level is typically low to moderate



Additional Information

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities at any time. The duties listed are intended to describe the general nature and level of work being performed and are not to be construed as an exhaustive list of responsibilities, duties, or skills.

Oakwood Gardens Care Center is an Equal Opportunity Employer.

Locations

  • Oakwood Gardens Care Center, United States of America

Salary

Estimated Salary Rangemedium confidence

35,000 - 55,000 USD / yearly

Source: Rule based Estimation

* This is an estimated range based on market data and may vary based on experience and qualifications.

Skills Required

  • Proficient computer skills with Microsoft Office productsintermediate
  • Ability to read and comprehend technical procedures, policies, and procedure manualsintermediate
  • Ability to effectively present information and respond to questions from managers and employeesintermediate
  • Ability to apply fractions, percentages, ratios, and proportions to practical situationsintermediate
  • Ability to solve practical problemsintermediate
  • Ability to interpret instructions furnished in written, oral, diagram, or schedule formintermediate

Required Qualifications

  • High school diploma or equivalent required (experience)
  • Strong understanding of Skilled Nursing billing and payment processes (experience)
  • SNF billing experience required (experience)
  • Minimum one year of experience in a long-term care facility preferred (experience)
  • Knowledge and experience with PCC strongly preferred (experience)

Responsibilities

  • Obtain managed care and Medi-Cal/Medicaid authorizations, including bed holds
  • Assist with managing resident trust accounts, including printing and distributing monthly statements
  • Supervise business office staff, including coaching, performance management, and disciplinary actions
  • Maintain accurate census records and report status changes
  • Attend stand-up meetings as requested by the Administrator
  • Assist residents and families with Medi-Cal/Medicaid applications
  • Prepare TARs as needed
  • Track Medi-Cal and Medicaid redeterminations
  • Participate in billing and payment processes, including preparing bank deposits
  • Undertake collection activity for bad debts
  • Complete operational requirements by scheduling and assigning employees and following up on work results

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PACS Group logo

Business Office Manager

PACS Group

Business Office Manager

full-timePosted: Jan 28, 2026

Job Description



Business Office Manager (BOM)

Oakwood Gardens Care Center – Fresno, CA
Status: Full-Time
Salary: Competitive, Based on Experience



Position Summary

Oakwood Gardens Care Center is seeking an experienced Business Office Manager (BOM) with Skilled Nursing Facility (SNF) and billing experience to oversee all business office operations. The BOM is responsible for managing billing, authorizations, trust accounts, census reporting, and supervision of business office staff while ensuring compliance with state and federal regulations.



Essential Duties & Responsibilities
  • Obtain managed care and Medi-Cal/Medicaid authorizations, including bed holds

  • Assist with managing resident trust accounts, including printing and distributing monthly statements

  • Supervise business office staff, including coaching, performance management, and disciplinary actions as appropriate

  • Maintain accurate census records and report status changes

  • Attend stand-up meetings as requested by the Administrator

  • Assist residents and families with Medi-Cal/Medicaid applications

  • Prepare TARs as needed

  • Track Medi-Cal and Medicaid redeterminations

  • Participate in billing and payment processes, including preparing bank deposits

  • Undertake collection activity for bad debts

  • Complete operational requirements by scheduling and assigning employees and following up on work results



Supervisory Requirements
  • Assist with the overall supervision and management of the business office staff



Qualifications

Education and/or Experience

  • High school diploma or equivalent required

  • Strong understanding of Skilled Nursing billing and payment processes

  • SNF billing experience required

  • Minimum one year of experience in a long-term care facility preferred

  • Proficient computer skills with Microsoft Office products



Language Skills
  • Ability to read and comprehend technical procedures, policies, and procedure manuals

  • Ability to effectively present information and respond to questions from managers and employees



Mathematical Skills
  • Ability to apply fractions, percentages, ratios, and proportions to practical situations



Reasoning Ability
  • Ability to solve practical problems

  • Ability to interpret instructions furnished in written, oral, diagram, or schedule form



Certificates, Licenses & Registrations
  • Knowledge and experience with PCC strongly preferred



Physical Demands

The essential functions of this position require the following physical abilities. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

  • Prolonged use of computer systems

  • Frequent standing and/or walking

  • Occasional sitting

  • Frequent reaching, pushing, and pulling

  • Frequent talking and/or hearing

  • Frequent lifting up to 50 pounds

  • Occasional climbing, balancing, stooping, kneeling, crouching, or crawling

  • Vision abilities include close, distance, color, peripheral, and depth perception, with the ability to adjust focus



Work Environment

The work environment characteristics described here are representative of those encountered while performing the essential functions of this job. Reasonable accommodations may be made.

  • Noise level is typically low to moderate



Additional Information

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities at any time. The duties listed are intended to describe the general nature and level of work being performed and are not to be construed as an exhaustive list of responsibilities, duties, or skills.

Oakwood Gardens Care Center is an Equal Opportunity Employer.

Locations

  • Oakwood Gardens Care Center, United States of America

Salary

Estimated Salary Rangemedium confidence

35,000 - 55,000 USD / yearly

Source: Rule based Estimation

* This is an estimated range based on market data and may vary based on experience and qualifications.

Skills Required

  • Proficient computer skills with Microsoft Office productsintermediate
  • Ability to read and comprehend technical procedures, policies, and procedure manualsintermediate
  • Ability to effectively present information and respond to questions from managers and employeesintermediate
  • Ability to apply fractions, percentages, ratios, and proportions to practical situationsintermediate
  • Ability to solve practical problemsintermediate
  • Ability to interpret instructions furnished in written, oral, diagram, or schedule formintermediate

Required Qualifications

  • High school diploma or equivalent required (experience)
  • Strong understanding of Skilled Nursing billing and payment processes (experience)
  • SNF billing experience required (experience)
  • Minimum one year of experience in a long-term care facility preferred (experience)
  • Knowledge and experience with PCC strongly preferred (experience)

Responsibilities

  • Obtain managed care and Medi-Cal/Medicaid authorizations, including bed holds
  • Assist with managing resident trust accounts, including printing and distributing monthly statements
  • Supervise business office staff, including coaching, performance management, and disciplinary actions
  • Maintain accurate census records and report status changes
  • Attend stand-up meetings as requested by the Administrator
  • Assist residents and families with Medi-Cal/Medicaid applications
  • Prepare TARs as needed
  • Track Medi-Cal and Medicaid redeterminations
  • Participate in billing and payment processes, including preparing bank deposits
  • Undertake collection activity for bad debts
  • Complete operational requirements by scheduling and assigning employees and following up on work results

Target Your Resume for "Business Office Manager" , PACS Group

Get personalized recommendations to optimize your resume specifically for Business Office Manager. Takes only 15 seconds!

AI-powered keyword optimization
Skills matching & gap analysis
Experience alignment suggestions

Check Your ATS Score for "Business Office Manager" , PACS Group

Find out how well your resume matches this job's requirements. Get comprehensive analysis including ATS compatibility, keyword matching, skill gaps, and personalized recommendations.

ATS compatibility check
Keyword optimization analysis
Skill matching & gap identification
Format & readability score

Answer 10 quick questions to check your fit for Business Office Manager @ PACS Group.

Quiz Challenge
10 Questions
~2 Minutes
Instant Score

Related Books and Jobs

No related jobs found at the moment.