While elder care facilities deserve credit and respect for the services they offer, many of these facilities are either for-profit, or non-profit while needing to be run on a break-even basis. To manage these affairs, a nursing home of any size will typically employ a business office manager. This person is responsible for ensuring that the facility's bills are paid and remittances and other payments are received, as well as for the creation and ongoing management of the budget to ensure the home's financial health.
Depending on the size of the facility, business office managers typically supervise at least a small team in the day-to-day aspects of accounts payable and receivable. They must ensure that the personnel under his/her responsibility are handling this operation according to all office protocols; the office will likely have billing coders, as well, due to the large number of payments and services covered by public assistance plans, such as Medicare in the United States. The business office manager must be at least reasonably familiar with these processes and able to assess the accuracy of coding and the remittances made as a result.
This office manager will also oversee operating expenditures and constantly assess the facility's ability to reduce waste and increase efficiency without impacting resident care and experience. He/she typically approves operating budgets, supply and utility expenditures, and any repairs and/or maintenance, and is involved in submitting capital improvement bids if the nursing home is part of a larger network or hospital system.
To work as a business office manager in a nursing home, it is necessary to have education and experience in both elder care facilities and business administration. Applicants should typically have formal education in one or the other with an academic emphasis on the management of such facilities. Many in this position have practical experience working in accounting or coding in a nursing home, or perhaps have a mix of business experience and nursing care experience. These managers typically work regular business hours during the week in a clinical office environment.
Business Office Manager, Nursing Home Tasks
- Analyze accounts and accounts receivable, including supervising resident trust funds.
- Manage employees from training to counseling, including discussing benefit programs and how to handle confidential data.
- Ensure proper billing and tracking of operating costs through management of office staff and policies.