Business Office Manager
How this pay compares
This posting does not state an hourly rate. Open practice manager jobs in Texas post a median of $29.87 an hour, the middle half $24.40–$30, across 10 jobs that state their pay. Practice managers employed in Texas earn a median of $31.22 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
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About the job
As a Business Office Manager, you play an essential role in keeping the facility running smoothly and ensuring residents and their families receive the financial support and guidance they need. Your work helps create a strong foundation for quality care by maintaining accurate financial records, supporting timely billing and collections, and ensuring the facility has the resources needed to serve our residents.
In this role, you will oversee key business office functions including accounts receivable, resident trust accounts, deposits, billing, collections, census tracking, Medicaid applications, and financial reporting. You will work closely with residents and families, the Administrator, care teams, and corporate partners to resolve financial matters, maintain accurate payer information, and ensure compliance with organizational and regulatory requirements.
- Manage accounts receivable, deposits, resident trust funds, petty cash, office supply orders, and census tracking with accuracy and accountability.
- Oversee resident financial records, ensuring new admissions meet financial criteria and all accounts are maintained according to policy.
- Maintain daily census records, balancing and reporting at morning meetings to support operational decision-making.
- Process daily deposits, credit card, and EFT transactions, ensuring compliance with all procedures.
- Handle Medicare, Hospice, Coinsurance, and other payer billing, including monthly reconciliations and collections.
- Process refunds and bad debt in accordance with state and corporate guidelines.
- Ensure timely collection of private, semi-private, and applied income by the 5th of each month.
- Prepare, facilitate, and review monthly aging reports, problem accounts, and payer source meetings to support operational and financial performance.
- Manage Medicaid applications and annual renewals, communicating regularly with corporate staff regarding resident status and payer updates.
- Collaborate with the Administrator and care teams to maintain accurate levels of care and support operational meetings.
- Complete special projects as assigned by the Administrator, Regional RVP, or Regional AR Manager.
- A bachelor's Degree in Accounting, Finance, or other related field is preferred
- Knowledgeable in proprietary accounting software and Excel spreadsheets
- Understanding of insurance, Medicare, and Medicaid.
Regency Integrated Health Services, Wellsential Health, Senior Solutions Pharmacy, Nurse Practitioner Services of Texas, and Texas Independent Health Care Plan are all an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.
From Wellsential Health's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Wellsential Health
Wellsential Health operates 67 (source: CMS Nursing Home Provider Information) Medicare- and Medicaid-certified nursing homes in Texas. Its job board posts jobs for nurses, nursing assistants and therapists. Source: CMS Nursing Home Provider Information
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