Business Office Associate Jobs in Tennessee
Business Office Associate jobs in Tennessee are concentrated in Nashville, Memphis, and Knoxville, where healthcare systems, insurance carriers, and corporate headquarters generate steady demand for professionals handling billing, patient accounts, and administrative operations. Employers with a lasting presence in Tennessee include HCA Healthcare, Community Health Systems, and BlueCross BlueShield of Tennessee, all of which maintain large business office teams across the state. The most in-demand specialties are medical billing, accounts receivable follow-up, and insurance verification, reflecting Tennessee's healthcare-heavy economy. Scan the live roles below and apply to whichever ones fit.
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Roan Mountain, Tennessee
The Waters of Roan Highlands is now hiring experienced BOM to join our team. !!
Under the direction of the Administrator, the Business Office Manager manages all business functions and personnel including but not limited to accounts receivable, accounts payable, resident trust funds and other assigned duties. The
Business Office Manager ensures the financial systems are accurate, efficient, and in accordance with professional accounting practices and governmental regulations. The person holding this position is delegated the responsibility for carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures.
ESSENTIAL JOB FUNCTIONS:
Role Responsibilities – Job Knowledge/Duties:
Demonstrates knowledge of age specific developmental factors specific to adult and geriatric residents (i.e. physical, cognitive, and socialization factors) in carrying out business office functions
Demonstrates knowledge, skills, and techniques necessary to carry out business office functions for residents with the following needs: therapeutic, neuro and dementia, dialysis, IV therapy and infectious diseases, if applicable
Attends all mandatory in-services by the employee’s anniversary date
Acts appropriately under the direction of the Administrator and acts as an active member of the interdisciplinary team
Demonstrates ability to adjust to changes in work schedule to meet resident and family needs
Communicates and observes the Corporate Compliance Program effectively and complies with Code of Conduct when performing work functions
Other duties as assigned by Administrator
Role Responsibilities – Administrative Duties:
Is responsible for collecting accounts receivable with an emphasis on the 90+ accounts by using the following techniques/procedures: a. Conducts collection calls on delinquent accounts with letter documenting the conversation b. Advise Corporate level personnel on payments not received by required dates, so late payment fees may be allocated c. Resolve balance disputes as needed/requested from responsible parties/residents d. Forward problem accounts to Corporate level personnel for assistance in resolving, as needed e. Conducts follow-up on delinquent account pay dates f. Advises the Administrator and the corporate level personnel of potential problem accounts as they arise g. Prepares and maintains “delinquent account status sheet” on delinquent/problem accounts h. Prepares analysis and reconciliation of accounts i. Prepares plan of action for follow-up of actions taken j. Recommends collection action and referral to collection agencies k. Prepares and submits application write-offs
Conducts meetings and regularly communicates with the Administrator and corporate level personnel about progress towards departmental goals attainment and areas of concern within the department
Gathers month-end medical reports and maintains file for reporting and ensures timely responses to
Medicare requests for medical records (ADRs)Demonstrates responsibilities for Medicare Part A determinations from the Nursing Department: a. Notifies resident/responsible party of nursing decisions, as received, or on a daily basis b. Ensures appropriate letters are sent within 24 hours of admission/decision
Ensures completion of Medicare Part A and B appeals in denials received: a. Completes and files reconsiderations on a timely basis b. Requests and completes telephone hearings for reconsideration on a timely basis c. Requests and completes Administrative Law Judge hearings for reconsideration on a timely basis
Balances SUM journals to billing reports by the 10th of each month
Follows Medicare procedures as needed or on a weekly basis
Process Medicaid pending conversions as needed or on a weekly basis
Reviews Medicaid pending conversions on a weekly basis, or as needed: a. Conducts follow-up with county caseworkers regarding status of application b. Conducts follow-up with resident/responsible party regarding status of application and compliance c. Advise resident’s Social Worker and Administrator of potential problems as they arise
Reviews Medicaid authorized new admissions on a weekly basis, or as needed and ensures proper notification is sent to local department of Social Services regarding Medicaid admission to facility
Prepares daily deposits, and makes deposit at the bank
Demonstrates responsibility for miscellaneous Business Office errands (i.e. post office, bank).
Verifies appropriate monies are being deducted for personal accounts on Medicaid residents. Advises Administrator whenever there is a discrepancy
Demonstrates responsibility for the day-to-day activity in resident trust accounts, Including: a. Weekly requests for funds transfer of resident account monies from general savings to resident trust b. Prepares deposits weekly for resident trust account c. Prepares checks for approved resident account disbursements weekly d. Verifies resident account petty cash disbursement has proper authorization and receipts (as needed) e. Posts deposits and disbursements to individual accounts on a weekly basis f. Reviews resident account trial balance and notifies responsible parties/residents n low/credit balances g. Closes out discharged residents’ accounts within one month of discharge h. Allocates interest as interest is applied to individual resident accounts i. Prints resident account statements quarterly and prepares to mail to responsible parties/residents j. Balances and processes year end 1099-INT on residents receiving $10.00 or more annual interest k. Maintains patient account authorization files
Gathers monthly auxiliary pharmacy bills and forwards them to corporate level personnel
Gathers monthly therapy billing logs from Physical Therapy, Occupational Therapy, and Speech Therapy departments and forwards them to the corporate level personnel, on a designated day of each month
Prepares memorandums to departments regarding quarterly time studies at beginning of quarter. Receives quarterly time studies, ensures time is calculated and completed for two week period, and forwards a copy to the appropriate corporate level personnel
Completes quarterly sales tax returns, if needed
Maintains business office non-medical files as needed
Responsible for special projects/special reports as assigned by the Administrator or corporate level personnel
Role Responsibilities – Infection Control:
Demonstrates proper hand-washing techniques
Disposes of waste properly
Role Responsibilities – Resident Care/Dignity:
Addresses residents in a respectful manner
Maintains confidentiality and discusses confidential resident information in appropriate areas only
EDUCATION/EXPERIENCE:
1. High School diploma required, Associates Degree in Business or at least three (3) years of accounts receivable management experience in health care preferred.
2. Possesses current knowledge of accounts receivable management, basic accounting procedures, insurance/third party billing procedures, and computerized office system operation.
3. Must be able to communicate in English, both verbally and in writing, and possess sufficient communication skills to perform the tasks required.
4. Must meet health assessment requirements, including two stage Mantoux skin test.
5. Must be capable of performing the essential functions of the job, with or without reasonable accommodations.
Job Requirements: Hours Per Day:
a) Sit 6 to 7 hours b) Stand 0 to 1 hour c) Walk 0 to 1 hour
The Waters of Roan Highlands provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, our company complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Location: 146 Buck Creek Rd, Roan Mountain, TN 37687, USA, Roan Mountain, Tennessee
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Where Tennessee roles are concentrated, by current openings.
Business Office Associate Job Market in Tennessee
A snapshot from current Tennessee openings, updated as new roles post.
Who's Hiring



What Tennessee Employers Look For
The qualifications that appear most often in business office associate jobs across Tennessee.
- High school diploma or GED required, with many employers preferring an associate degree in business or healthcare administration
- Experience with medical billing software such as Epic, Meditech, or similar healthcare information systems
- Knowledge of insurance verification, claims processing, and accounts receivable follow-up procedures
- Strong data entry accuracy and proficiency with Microsoft Office applications, particularly Excel and Word
- Familiarity with HIPAA regulations and patient confidentiality standards in a healthcare setting
- Effective written and verbal communication skills for coordinating with patients, insurers, and clinical staff
Business Office Associate Jobs in Tennessee: Frequently Asked Questions
How do you become a business office associate in Tennessee?
Most Tennessee employers require a high school diploma or GED at minimum, though an associate degree in business administration, health information management, or a related field strengthens your candidacy considerably. Tennessee does not require a state-issued license specifically for business office associates, but employers in healthcare settings often expect familiarity with medical billing standards and may prefer candidates who have completed a medical billing or coding certificate program through a Tennessee community college such as Nashville State or Southwest Tennessee Community College.
Which companies hire business office associates in Tennessee?
Companies currently hiring business office associates in Tennessee include Heartland Dental, CarMax, and The Waters, per current listings on Migrate Mate as of September 2026. Tennessee's large footprint of regional hospital systems and insurance carriers means ongoing demand across both healthcare and corporate business office settings throughout the state.
Which Tennessee cities have the most business office associate jobs?
Nashville, Memphis, and Knoxville lead Tennessee in business office associate openings. Nashville dominates because of its concentration of major hospital systems, insurance company headquarters, and corporate back-office operations, while Memphis and Knoxville each anchor large regional healthcare networks and employer campuses that sustain consistent demand for business office staff.
Are there remote business office associate jobs in Tennessee?
Yes, and they are more available than in many comparable roles. About 50% of business office associate openings tied to Tennessee are remote or hybrid as of September 2026, reflecting the desk-based and computer-dependent nature of the work. Billing follow-up, insurance verification, and accounts receivable processing are the functions most commonly offered remotely by Tennessee employers.
How can I get hired as a business office associate in Tennessee with little or no experience?
The most realistic entry path is applying to patient access representative or billing assistant roles at one of Tennessee's large healthcare systems, which regularly hire candidates without direct business office experience and provide on-the-job training. HCA Healthcare and Community Health Systems both run structured onboarding tracks for new business office staff at their Tennessee facilities. Completing a short medical billing certificate through a Tennessee community college and gaining familiarity with a common platform like Epic gives candidates a meaningful edge over other entry-level applicants.
Where can I find and apply to business office associate jobs in Tennessee?
You can find and apply to business office associate jobs in Tennessee on Migrate Mate, which lists current openings from employers across the state. Search the available roles, find the ones that match your background and preferred location, and apply directly to whichever positions fit your situation.
See All 37 Business Office Associate Jobs in Tennessee
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