Business Office Manager (On-site, San Antonio, Texas)
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About the job
Location: In person role located in San Antonio, Texas. Exact location will be discussed during the interview.
Salary: $65,000 to $75,000 depending on experience
General Purpose
Supports facility operations by maintaining business office systems and supervision staff.
Essential Duties
- Obtain managed care and Medi-Cal or Medicaid authorizations including bedholds.
- Assist with managing resident trust fund, including printing and distributing monthly statements.
- Supervise business office staff, including taking appropriate disciplinary measures.
- Maintain census and report status changes.
- May attend stand-up meetings at the request of the Administrator.
- Assist with Medi-Cal or 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.
- Completes operational requirements by scheduling and assigning employees; following up on work results.
Supervisory Requirements
Assist with the overall supervision and management of the business office staff.
Qualification
Education and/or Experience
High school diploma or equivalent.
Strong understanding of skilled nursing billing and payment as well as proficient in Microsoft products computer skills.
Preferable one-year experience in a long term care facility.
Certificates, Licenses, Registrations
Knowledge and experience with PCC preferred.
Physical Demands
The essential functions of this position require the following physical abilities: Prolong use of computer. Standing and /or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and /or hearing very frequently. Tasting and /or smelling very frequently. Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally. Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.
Join PACS: Elevate Healthcare with Us!
PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment , we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.
If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!
Join Our Team and Thrive!
At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.
Our Comprehensive Benefits Include
- Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
- PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
- Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
- Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
- Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.
Join us at PACS and take advantage of a workplace that truly values you!
We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.
From PACS Group's job posting, checked Oct 21, 2026. The employer's own page is the final word on requirements and availability.
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About PACS Group
PACS Group operates 275 (source: CMS Nursing Home Provider Information, opens in a new tab) Medicare- and Medicaid-certified nursing homes in 16 (source: CMS Nursing Home Provider Information, opens in a new tab) states. Its job board posts jobs for nurses, nursing assistants and therapists. Source: CMS Nursing Home Provider Information
Hires in 23 statesPay on its listings: shown on each listing that states it
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