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The BOM plays a critical role in maintaining financial performance, revenue cycle integrity, and exceptional customer service for residents, families, payors, and external partners. Minimum 3 years of Business Office, Billing, Accounts Receivable, or Revenue Cycle experience in Skilled Nursing, Long-Term Care, or Healthcare setting required.

<h3>The Opportunity:</h3>The Business Office Manager (BOM) is responsible for overseeing the daily financial and administrative operations of the facility's business office. This role ensures accurate census management, billing, collections, cash controls, insurance verification, reimbursement processes, and regulatory compliance. The BOM plays a critical role in maintaining financial performance, revenue cycle integrity, and exceptional customer service for residents, families, payors, and external partners.<h3> Key Responsibilities</h3>Census Management & Daily Revenue Operations<ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">Manage and reconcile daily census activity to ensure accuracy of admissions, discharges, transfers, payer changes, and room moves.</li><li class="editor-listitem" dir="ltr" value="2">Utilize PCC Dashboard to review and validate census data.</li><li class="editor-listitem" dir="ltr" value="3">Verify insurance coverage, eligibility, benefit periods, and dates used.</li><li class="editor-listitem" dir="ltr" value="4">Enter and maintain authorizations timely and accurately.</li><li class="editor-listitem" dir="ltr" value="5">Process all payor changes in billing systems and census records.</li><li class="editor-listitem" dir="ltr" value="6">Maintain and update census spreadsheets and internal tracking reports.</li><li class="editor-listitem" dir="ltr" value="7">Complete PA Health and Wellness reporting requirements accurately and on time.</li><li class="editor-listitem" dir="ltr" value="8">Conduct 72-hour insurance reviews for all new admissions to confirm coverage and reimbursement opportunities.</li></ul>Cash Management & Deposits<ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">Prepare and process daily deposits.</li><li class="editor-listitem" dir="ltr" value="2">Complete Bankwell check deposits accurately and timely.</li><li class="editor-listitem" dir="ltr" value="3">Reconcile and process Sola transactions.</li><li class="editor-listitem" dir="ltr" value="4">Enter manual care costs in RFMS when required.</li><li class="editor-listitem" dir="ltr" value="5">Maintain internal controls related to cash receipts and deposits.</li></ul>Billing & Collections<ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">Oversee collections for Private Pay and PL accounts while maintaining 95%+ collection performance.</li><li class="editor-listitem" dir="ltr" value="2">Review monthly resident statements and invoices for accuracy prior to distribution.</li><li class="editor-listitem" dir="ltr" value="3">Ensure timely mailing or electronic delivery of monthly bills.</li><li class="editor-listitem" dir="ltr" value="4">Conduct collection calls for past due accounts professionally and consistently.</li><li class="editor-listitem" dir="ltr" value="5">Coordinate magistrate filings and court-related collection actions when necessary.</li><li class="editor-listitem" dir="ltr" value="6">Manage guardianship-related account matters and communication.</li><li class="editor-listitem" dir="ltr" value="7">Process approved refund requests within 30 days.</li><li class="editor-listitem" dir="ltr" value="8">Maintain aging reports and execute collection strategies to reduce outstanding AR.</li></ul>Triple Check & Billing Compliance<ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">Participate in Triple Check process to ensure accurate billing prior to claim submission.</li><li class="editor-listitem" dir="ltr" value="2">Review UB claims for completeness, accuracy, payer compliance, and supporting documentation.</li><li class="editor-listitem" dir="ltr" value="3">Resolve billing discrepancies before submission.</li><li class="editor-listitem" dir="ltr" value="4">Collaborate with clinical and admissions teams to support clean claims and timely reimbursement.</li></ul>Utilization Review (UR)<ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">Conduct weekly Utilization Review meetings/processes.</li><li class="editor-listitem" dir="ltr" value="2">Monitor payer coverage, authorizations, continued stay criteria, and reimbursement opportunities.</li><li class="editor-listitem" dir="ltr" value="3">Coordinate with clinical leadership to ensure documentation supports skilled coverage.</li></ul>Leadership & Administration<ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">Supervise business office staff as assigned.</li><li class="editor-listitem" dir="ltr" value="2">Train team members on billing systems, collections procedures, and customer service standards.</li><li class="editor-listitem" dir="ltr" value="3">Maintain resident trust accounts, if applicable.</li><li class="editor-listitem" dir="ltr" value="4">Ensure confidentiality of financial and resident information.</li><li class="editor-listitem" dir="ltr" value="5">Support audits, month-end close, and special financial projects.</li><li class="editor-listitem" dir="ltr" value="6">Promote a professional, service-oriented environment for residents and families.</li></ul><h3>Qualifications</h3><ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">High school diploma required; Associate's or Bachelor's degree preferred in Business, Accounting, Healthcare Administration, or related field.</li><li class="editor-listitem" dir="ltr" value="2">Minimum 3 years of Business Office, Billing, Accounts Receivable, or Revenue Cycle experience in Skilled Nursing, Long-Term Care, or Healthcare setting required.</li><li class="editor-listitem" dir="ltr" value="3">Prior supervisory experience preferred.</li><li class="editor-listitem" dir="ltr" value="4">Strong knowledge of Medicare, Medicaid, Managed Care, Private Pay billing, and collections.</li><li class="editor-listitem" dir="ltr" value="5">Experience with PCC, RFMS, and healthcare billing systems preferred.</li><li class="editor-listitem" dir="ltr" value="6">Understanding of UB claims, Triple Check, and census management required.</li></ul><h3>Required Skills</h3><ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">Strong analytical and organizational skills</li><li class="editor-listitem" dir="ltr" value="2">High attention to detail and accuracy</li><li class="editor-listitem" dir="ltr" value="3">Knowledge of reimbursement and revenue cycle processes</li><li class="editor-listitem" dir="ltr" value="4">Effective communication and collections skills</li><li class="editor-listitem" dir="ltr" value="5">Ability to manage multiple deadlines</li><li class="editor-listitem" dir="ltr" value="6">Professional handling of sensitive financial matters</li><li class="editor-listitem" dir="ltr" value="7">Strong Excel and reporting skills</li><li class="editor-listitem" dir="ltr" value="8">Problem-solving and follow-through mindset</li></ul><h3>Performance Expectations</h3><ul class="editor-list-ul"><li class="editor-listitem" dir="ltr" value="1">Maintain census and billing accuracy above established standards</li><li class="editor-listitem" dir="ltr" value="2">Achieve 95%+ collections on applicable accounts</li><li class="editor-listitem" dir="ltr" value="3">Ensure deposits are completed daily and accurately</li><li class="editor-listitem" dir="ltr" value="4">Submit clean claims timely</li><li class="editor-listitem" dir="ltr" value="5">Process refunds within 30 days</li><li class="editor-listitem" dir="ltr" value="6">Maintain regulatory and payor compliance standards</li></ul><h3> </h3>

Limitlessli

Business Office Manager

Accounting Close

Accounts Receivable

Analysis Skills

Bill of Materials (BOM)

Billing

Cash Management

Communication Skills

Credit and Collections

Customer Support/Service

Data Quality

Detail Oriented

Documentation

Financial Administration

Financial Management

Financial Operations

Follow Through

Healthcare

Healthcare Administration

High School Diploma

Insurance

Leadership

Long-Term Care

Maintain Compliance

Managed Care

Medicaid

Medical Billing

Medicare

Microsoft Excel

Nursing

Office Management

Operations

Organizational Skills

Past Due Accounts

People Management

Problem Solving Skills

Reconciliation

Regulatory Compliance

Reimbursement

Reporting Dashboards

Reporting Skills

Revenue Management

Spreadsheets

Support Documentation

Time Management

Transaction Processing/Management

Utilization Management

BreezyHR

The Opportunity:The Business Office Manager (BOM) is responsible for overseeing the daily financial and administrative operations of the facility's business office. This role ensures accurate census management, billing, collections, cash controls, insurance verification, reimbursement processes, and regulatory compliance. The BOM plays a critical role in maintaining financial performance, revenue cycle integrity, and exceptional customer service for residents, families, payors, and external partners.Key ResponsibilitiesCensus Management & Daily Revenue Operations<ul><li>Manage and reconcile daily census activity to ensure accuracy of admissions, discharges, transfers, payer changes, and room moves.</li><li>Utilize PCC Dashboard to review and validate census data.</li><li>Verify insurance coverage, eligibility, benefit periods, and dates used.</li><li>Enter and maintain authorizations timely and accurately.</li><li>Process all payor changes in billing systems and census records.</li><li>Maintain and update census spreadsheets and internal tracking reports.</li><li>Complete PA Health and Wellness reporting requirements accurately and on time.</li><li>Conduct 72-hour insurance reviews for all new admissions to confirm coverage and reimbursement opportunities.</li></ul>Cash Management & Deposits<ul><li>Prepare and process daily deposits.</li><li>Complete Bankwell check deposits accurately and timely.</li><li>Reconcile and process Sola transactions.</li><li>Enter manual care costs in RFMS when required.</li><li>Maintain internal controls related to cash receipts and deposits.</li></ul>Billing & Collections<ul><li>Oversee collections for Private Pay and PL accounts while maintaining 95%+ collection performance.</li><li>Review monthly resident statements and invoices for accuracy prior to distribution.</li><li>Ensure timely mailing or electronic delivery of monthly bills.</li><li>Conduct collection calls for past due accounts professionally and consistently.</li><li>Coordinate magistrate filings and court-related collection actions when necessary.</li><li>Manage guardianship-related account matters and communication.</li><li>Process approved refund requests within 30 days.</li><li>Maintain aging reports and execute collection strategies to reduce outstanding AR.</li></ul>Triple Check & Billing Compliance<ul><li>Participate in Triple Check process to ensure accurate billing prior to claim submission.</li><li>Review UB claims for completeness, accuracy, payer compliance, and supporting documentation.</li><li>Resolve billing discrepancies before submission.</li><li>Collaborate with clinical and admissions teams to support clean claims and timely reimbursement.</li></ul>Utilization Review (UR)<ul><li>Conduct weekly Utilization Review meetings/processes.</li><li>Monitor payer coverage, authorizations, continued stay criteria, and reimbursement opportunities.</li><li>Coordinate with clinical leadership to ensure documentation supports skilled coverage.</li></ul>Leadership & Administration<ul><li>Supervise business office staff as assigned.</li><li>Train team members on billing systems, collections procedures, and customer service standards.</li><li>Maintain resident trust accounts, if applicable.</li><li>Ensure confidentiality of financial and resident information.</li><li>Support audits, month-end close, and special financial projects.</li><li>Promote a professional, service-oriented environment for residents and families.</li></ul>Qualifications<ul><li>High school diploma required; Associate's or Bachelor's degree preferred in Business, Accounting, Healthcare Administration, or related field.</li><li>Minimum 3 years of Business Office, Billing, Accounts Receivable, or Revenue Cycle experience in Skilled Nursing, Long-Term Care, or Healthcare setting required.</li><li>Prior supervisory experience preferred.</li><li>Strong knowledge of Medicare, Medicaid, Managed Care, Private Pay billing, and collections.</li><li>Experience with PCC, RFMS, and healthcare billing systems preferred.</li><li>Understanding of UB claims, Triple Check, and census management required.</li></ul>Required Skills<ul><li>Strong analytical and organizational skills</li><li>High attention to detail and accuracy</li><li>Knowledge of reimbursement and revenue cycle processes</li><li>Effective communication and collections skills</li><li>Ability to manage multiple deadlines</li><li>Professional handling of sensitive financial matters</li><li>Strong Excel and reporting skills</li><li>Problem-solving and follow-through mindset</li></ul>Performance Expectations<ul><li>Maintain census and billing accuracy above established standards</li><li>Achieve 95%+ collections on applicable accounts</li><li>Ensure deposits are completed daily and accurately</li><li>Submit clean claims timely</li><li>Process refunds within 30 days</li><li>Maintain regulatory and payor compliance standards</li></ul>

Business Office Manager - SNF

OTHER

You will own fleet lifecycle from upfitting to disposition, manage enterprise vendor relationships, and partner with Operations, Warehouse, Procurement, and senior leadership to keep field crews moving. 5+ years in fleet and/or logistics operations with at least 3 years in management role overseeing large-scale operations (1,000+ vehicle fleets preferred).

Overview:
Flagger Force, an industry leader in traffic control, is currently hiring a Fleet Operations Manager. This position will be based out of our Operations Services Center located in Hummelstown, PA. The Fleet Operations Manager provides strategic oversight, optimization, and lifecycle management of Flagger Force’s 3,000+ vehicle and asset fleet. This role drives fleet forecasting, cost control, compliance, and operational efficiency while partnering cross-functionally to support the company’s continued growth. The Fleet Operations Manager ensures the fleet is right-sized, cost-effective, safe, and aligned with company performance and branding standards. This is a strategic seat with operations that requires a dynamic approach to meeting our growing business demands. You will own fleet lifecycle from upfitting to disposition, manage enterprise vendor relationships, and partner with Operations, Warehouse, Procurement, and senior leadership to keep field crews moving.

Responsibilities:
Fleet Strategy & Planning<ul><li>Develop and execute fleet forecasting models based on headcount, geographic expansion, and operational demand to ensure optimal fleet sizing</li><li>Evaluate and recommend vehicle types, specifications, and standardization strategies to reduce total cost of ownership</li><li>Contribute to annual budgeting and multi-year fleet planning; lead or support fleet expansion, sustainability, and system upgrade initiatives</li><li>Facilitate asset movement and resource allocation across markets to support field operations</li></ul>Procurement & Vendor Management<ul><li>Partner with corporate procurement to source, evaluate, and negotiate with manufacturers, dealers, and service vendors for favorable pricing and terms</li><li>Oversee strategic vendor relationships for maintenance, repairs, parts, towing, and upfitting; develop and enforce vendor KPIs and SLA accountability</li><li>Manage the full lifecycle of 3,000+ owned, leased, and rented assets — procurement, contract management, upfitting, and disposition</li></ul>Cost Management & Optimization<ul><li>Monitor fleet spending against budget; provide variance analysis and corrective action plans to leadership</li><li>Drive P&L accountability with focus on cost-per-mile and total cost of ownership reduction; oversee Capex planning and ROI analysis</li><li>Maintain registration, licensing, fuel card administration, insurance records, and compliance documentation across all vehicles</li><li>Manage fleet damage and liability programs; oversee the full insurance estimate, repair, and auction process</li></ul>Compliance & Risk Management<ul><li>Ensure all vehicles and equipment comply with state and federal requirements across all operating jurisdictions</li><li>Develop and implement fleet safety programs, incident response procedures, and corrective action plans; lead safety investigations and business continuity planning</li><li>Maintain title and registration paperwork across multiple jurisdictions; conduct regular fleet audits for condition, compliance, and documentation accuracy</li></ul>Data, Systems & Reporting<ul><li>Leverage telematics platforms (Samsara, Element, etc.) to drive data-informed decisions and improve operational performance</li><li>Produce executive-level reports on fleet performance, utilization, cost-per-mile, fuel efficiency, and maintenance trends</li><li>Develop predictive analytics for maintenance scheduling and asset replacement; ensure data integrity and governance across all fleet systems</li></ul>Team Leadership & Development<ul><li>Lead, develop, and hold fleet coordinators, maintenance supervisors, and administrative staff accountable across direct and indirect reporting lines</li><li>Train warehouse and field personnel on fleet programs, telematics, and compliance requirements</li><li>Foster a culture of safety, accountability, and continuous improvement; lead change management for system implementations and process improvement initiatives</li></ul> Key performance indicators you will own fleet uptime (target 95%+), cost-per-mile trends, vendor SLA performance, and asset utilization rates across all locations. WORKING CONDITIONS<ul><li>In-person at Flagger Force’s corporate campus in Hummelstown, PA</li><li>Primarily indoor, climate-controlled office environment</li><li>Occasional regional travel required</li></ul>What Flagger Force Offers:<ul><li>Medical, vision and dental insurance</li><li>401k w/company match</li><li style="text-align:justify">Generous paid time off</li><li>On-site fitness facility</li><li>Paid holidays</li><li>Health savings account</li><li>Company paid benefits (long term disability and basic life/AD&D)</li><li>Employee assistance program</li><li>Tuition and education assistance</li><li>Employee appreciation events</li><li>Giving back to the communities we serve through paid volunteer time off</li><li>Professional development opportunities</li></ul>

Qualifications:
Experience<ul><li>5+ years in fleet and/or logistics operations with at least 3 years in management role overseeing large-scale operations (1,000+ vehicle fleets preferred)</li><li>Proven success managing teams across multiple geographic locations with demonstrated P&L responsibility</li><li>Enterprise-level contract negotiation and vendor management experience</li><li>Background in traffic control, construction, transportation, or a similarly complex field operations environment strongly preferred</li></ul>Technical Skills<ul><li>Advanced proficiency with fleet management and telematics platforms (Samsara, Element, Fleetio, Auto-Integrate, or similar)</li><li>Expert-level data analytics using Excel, Power BI, Grafana, or comparable tools; strong understanding of predictive maintenance and asset lifecycle management</li><li>Knowledge of GPS tracking, route optimization, and emerging fleet technologies; experience with compliance reporting systems</li></ul>Leadership & Regulatory Knowledge<ul><li>Demonstrated ability to lead organizational changes, drive measurable operational improvements, and communicate effectively at the executive level</li><li>Process improvement mindset; Lean Six Sigma certification preferred</li><li>Comprehensive familiarity with DOT, FMCSA, OSHA, and MUTCD; multi-jurisdiction title, registration, and insurance compliance experience</li></ul>Education & Certifications<ul><li>Bachelor’s degree in Logistics, Supply Chain Management, Business Administration, or related field</li><li>Valid driver’s license with clean driving record</li><li>Professional fleet, safety, or logistics certifications desirable (NAFA, ASE, CSP); PMP and Lean Six Sigma certifications a plus</li></ul> Flagger Force is an industry leader in traffic control. Utilizing robust technology resources and expertise, we support the nation’s infrastructure, utilities, and other service industries throughout the eastern United States. Flagger Force provides a supportive work environment centered on our organization's values, vision, and mission. The leadership team believes that our most important asset is our employees.  Flagger Force is an Equal Opportunity Employer. Flagger Force's policy is to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, military status, sexual orientation, genetic information, or any other protected status under applicable law. #LI-ONSITE 

Education:
Bachelors Degree

Flagger Force, LLC

Fleet Operations Manager

Accidental Death and Dismemberment (AD&D)

Asset Management

Auditing

Brand Marketing (Branding)

Budgeting

Business Administration

Business Continuity Planning (BCP)

Business Growth

Capital Expenditure (CAPEX)

Change Management

Construction Control

Continuous Improvement

Contract Management

Contract Negotiation

Corrective Action

Cost Control

Cost Forecasting

Cross-Functional

Data Analysis

Dental Insurance

Driver's License

Emerging Technology

Employee Assistance Plan

Expense Tracking

Fitness

Fleet Management

Forecasting

GPS (Global Positioning System)

Incident Response

Lean Six Sigma

Licensing

Logistics

Maintenance Services

Negotiation Skills

OSHA

Operational Improvement

Operational Measurement

Operational Support

Operations Management

Performance Analysis

Performance Management

Performance Metrics

Power BI

Predictive Modeling

Pricing

Process Improvement

Procurement Management

Profit & Loss

Profit & Loss Management

Project Management Professional (PMP)

Purchasing/Procurement

Records Management

Regulations

Rentals

Resource Management

Return on Investment (ROI)

Right-Sizing

Risk Management

Safety/Work Safety

Service Level Agreement (SLA)

Six Sigma Certification

Standards Strategy

Strategic Planning

Supplier Relationship Management (SRM)

Supply Chain Management

Systems Administration/Management

Systems Maintenance

Team Lead/Manager

Total Cost of Ownership

Tuition Fees

Variance Analysis

Vehicle Fleets

Vendor/Supplier Evaluation

Vendor/Supplier Management

Vendor/Supplier Planning

Vendor/Supplier Relations

Vision Plan

Warehousing

Willing to Travel

[AW]-iCims

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Business Office ManagerLimitlessli

Business Office Manager - SNFLimitlessli

Fleet Operations ManagerFlagger Force, LLC

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