Regional Business Office Manager (RBOM) – Not a Remote Position

JOB DETAILSRun the Numbers. Fix the Process. Lead the Team. (NOT a REMOTE Position)NHS Management, LLC is hiring a Regional Business Office Manager (RBOM) to lead medical billing, collections, and revenue cycle performance across multiple skilled nursing facilities.This role is built for someone who knows how to:Clean up aging ARFix broken billing processesHold teams accountable for collections performanceIf you’ve worked in SNF billing and know how to turn receivables into cash, this is where you make an impact.What You’ll Own (Day 1 Focus)Billing & Collections PerformanceOversee Medicare, Medicaid, Managed Care, and private pay billingDrive collections strategy to reduce AR days and increase cash flowManage and resolve denials, underpayments, and billing issuesEnsure clean claims submission and aggressive follow-upMonitor AR aging reports and take immediate action on problem accountsTeam Leadership (Multi-Facility)Lead and support Business Office Managers, billers, and financial staffTrain and coach teams on billing accuracy and collections disciplineHold facilities accountable for performance metrics and deadlinesStep in to stabilize underperforming business officesRevenue Cycle OversightAnalyze cash collections, AR trends, and reimbursement performanceIdentify gaps and implement process improvements across facilitiesPartner with Administrators and DONs to align census and financial outcomesSupport budgeting with a focus on revenue capture and reimbursement accuracyCompliance & AccuracyEnsure compliance with Medicare, Medicaid, and payer guidelinesMaintain audit-ready documentation and billing practicesSupport internal and external auditsWhat You Need To Bring3–5+ years of SNF / Long-Term Care billing & collections experienceExperience managing or supporting multiple facilities or business officesStrong knowledge of:Medicare Part A & BMedicaidManaged Care / Insurance billingProven success in:Reducing AR agingImproving collectionsFixing billing issuesLeadership experience with billing teams, BOMs, or financial staffStrong Excel and reporting skillsAssociate’s degree required | Bachelor’s preferredKeywords That Matter (What You Should Already Know)Revenue Cycle AR Management Medical Billing SNF Billing Collections Denials Management Medicare Medicaid Managed Care Business Office OperationsWhy This Role MattersThis Position Directly ImpactsCash flowFinancial stability of facilitiesTeam performance across the regionYour ability to drive collections and build accountable teams will show up immediately in the numbers.What You’ll GetCompetitive compensation + full benefitsMulti-facility leadership exposureGrowth opportunity within a stable healthcare organizationBottom LineIf you’ve been the person everyone calls when AR is out of control or billing is falling apart—this is your role.Job Ref #: 37124e3b-3772-4aa4-972e-93cc51ac4c68Date Posted: 2026-04-21