Business Office Manager Jobs in North Carolina
Business Office Manager jobs in North Carolina are in steady demand, concentrated in healthcare administration, higher education, and professional services, with openings at every level from entry-level office coordinator to senior operations director. Charlotte, Raleigh-Durham, and Greensboro account for the heaviest hiring activity, anchored by large employers such as Atrium Health, Duke University Health System, and Bank of America. The most in-demand specialties in North Carolina are medical practice management, academic department administration, and multi-site operations oversight. Find a role that fits below and apply directly.
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POSITION SUMMARY
The Assistant Business Office Manager (ABOM) is responsible for assisting the Business Office Manager (BOM) with all business office functions including medical billing, accounts receivable, and resident trust fund management with a special focus on Medicaid and Third-Party payer sources. In the absence of the BOM, the ABOM will complete BOM duties as necessary and assume responsibility for the management of the business office department.
GENERAL RESPONSIBILITIES:
Assists the BOM in completion of all business office functions; assumes responsibility for business office functions in the absence of the BOM.
Attends and participates in stand-up and other meetings in absence of the BOM.
Assists with scheduling of business office staff as needed.
Assists in all functions of patient / resident fund management system including accurate accounting, maintenance, and security of patient / resident funds.
Ensures that patient / resident fund transactions are accurately recorded in the system in a timely manner and that accounts reconcile.
Receives and responds to resident / family questions regarding billing in a timely manner.
Assists BOM as requested in follow-up and collection of all payer sources.
Makes collection calls to proactively prevent accounts from becoming delinquent.
Assists the BOM in the processing and evaluating of the pre-admission financial reviews.
Assists the BOM in monitoring private pay accounts to communicate with residents / families regarding Medicaid eligibility and the application process.
Assists the BOM in the completion of end of month pre-close and close processes to ensure timely and accurate billing of all accounts.
Ensures all mandatory training is completed on time.
Performs other duties as necessary for the successful operation of the healthcare center.
MEDICAID / THIRD-PARTY:
Takes lead on follow-up and collection of Medicaid and Third-Party payer sources.
Identifies and works to resolve billing issues with Medicaid & Third-Party accounts.
Monitors Medicaid & Third-Party aging reports and conducts follow-up on unpaid and underpaid claims; takes appropriate action to correct and re-bill if necessary for re-imbursement.
Monitors payer websites for claim status, patient pay reports, and patient eligibility.
Establishes and maintains positive, professional relationships with the local Medicaid Eligibility Offices at the Department of Social Services.
Accurately and completely documents status updates in Point Click Care (PCC) on all accounts regularly.
Submits and tracks required forms for Medicaid payer sources including admission, level of care change, and discharge notifications in a timely manner.
Completes and submits requests for patient pay adjustments in a timely manner.
Ensure that Medicaid applications and renewals are completed and followed-up on appropriately.
PREREQUISITES, SKILLS, & ABILITIES:
Account analysis and auditing experience.
Experience in long-term care and/or medical office background preferred.
Verbal and written communication skills.
Computer skills with accounting software knowledge.
Knowledge of basic office machines.
Excellent organizational skills with attention to detail.
Able to handle multiple priorities.
Able to work without direct supervision.
Able to work as a team leader.
High level of professionalism in appearance and demeanor.
POSITION SUMMARY
The Assistant Business Office Manager (ABOM) is responsible for assisting the Business Office Manager (BOM) with all business office functions including medical billing, accounts receivable, and resident trust fund management with a special focus on Medicaid and Third-Party payer sources. In the absence of the BOM, the ABOM will complete BOM duties as necessary and assume responsibility for the management of the business office department.
GENERAL RESPONSIBILITIES:
Assists the BOM in completion of all business office functions; assumes responsibility for business office functions in the absence of the BOM.
Attends and participates in stand-up and other meetings in absence of the BOM.
Assists with scheduling of business office staff as needed.
Assists in all functions of patient / resident fund management system including accurate accounting, maintenance, and security of patient / resident funds.
Ensures that patient / resident fund transactions are accurately recorded in the system in a timely manner and that accounts reconcile.
Receives and responds to resident / family questions regarding billing in a timely manner.
Assists BOM as requested in follow-up and collection of all payer sources.
Makes collection calls to proactively prevent accounts from becoming delinquent.
Assists the BOM in the processing and evaluating of the pre-admission financial reviews.
Assists the BOM in monitoring private pay accounts to communicate with residents / families regarding Medicaid eligibility and the application process.
Assists the BOM in the completion of end of month pre-close and close processes to ensure timely and accurate billing of all accounts.
Ensures all mandatory training is completed on time.
Performs other duties as necessary for the successful operation of the healthcare center.
MEDICAID / THIRD-PARTY:
Takes lead on follow-up and collection of Medicaid and Third-Party payer sources.
Identifies and works to resolve billing issues with Medicaid & Third-Party accounts.
Monitors Medicaid & Third-Party aging reports and conducts follow-up on unpaid and underpaid claims; takes appropriate action to correct and re-bill if necessary for re-imbursement.
Monitors payer websites for claim status, patient pay reports, and patient eligibility.
Establishes and maintains positive, professional relationships with the local Medicaid Eligibility Offices at the Department of Social Services.
Accurately and completely documents status updates in Point Click Care (PCC) on all accounts regularly.
Submits and tracks required forms for Medicaid payer sources including admission, level of care change, and discharge notifications in a timely manner.
Completes and submits requests for patient pay adjustments in a timely manner.
Ensure that Medicaid applications and renewals are completed and followed-up on appropriately.
PREREQUISITES, SKILLS, & ABILITIES:
Account analysis and auditing experience.
Experience in long-term care and/or medical office background preferred.
Verbal and written communication skills.
Computer skills with accounting software knowledge.
Knowledge of basic office machines.
Excellent organizational skills with attention to detail.
Able to handle multiple priorities.
Able to work without direct supervision.
Able to work as a team leader.
High level of professionalism in appearance and demeanor.
See All 32 Business Office Manager Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find Business Office Manager JobsBusiness Office Manager Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Business Office Manager Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in business office manager jobs across North Carolina.
- Associate or bachelor's degree in business administration, healthcare administration, or a related field
- Prior supervisory or team lead experience in an office or administrative setting
- Proficiency with billing, accounts payable, and practice management or ERP software
- Strong knowledge of compliance requirements relevant to North Carolina healthcare or financial regulations
- Demonstrated ability to manage budgets, payroll coordination, and vendor relationships
- Experience with multi-site or multi-department coordination across North Carolina locations
Business Office Manager Jobs in North Carolina: Frequently Asked Questions
How do you become a business office manager in North Carolina?
Most business office manager roles in North Carolina require at least an associate degree in business administration or healthcare administration, with a bachelor's degree preferred for hospital and health system settings. North Carolina does not issue a state license specific to this title, but candidates targeting medical practice management often pursue the Certified Medical Manager credential through the Professional Association of Health Care Office Management. Large North Carolina employers such as Novant Health and UNC Health commonly require several years of progressive administrative experience before hiring at the manager level.
How much do business office managers make in North Carolina?
Business office managers in North Carolina earn a median of about $62,340 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $43,880 for the lowest 10% to over $97,900 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire business office managers in North Carolina?
Employers hiring business office managers in North Carolina right now include Heartland Dental, ALG Senior, and RHA Health Services, based on current listings on Migrate Mate as of October 2026. North Carolina's concentration of major health systems, university campuses, and regional financial services firms means openings appear consistently across the state year-round.
Which North Carolina cities have the most business office manager jobs?
Raleigh, Charlotte, and Wilmington have the most business office manager openings in North Carolina. Charlotte's role as the state's financial and corporate services hub drives volume there, while Raleigh-Durham benefits from Research Triangle Park's concentration of healthcare, biotech, and university employers, and Greensboro draws from its mix of logistics, manufacturing headquarters, and regional medical centers.
Are there remote business office manager jobs in North Carolina?
Yes, but they're less common than in purely desk-based roles, since business office managers frequently oversee on-site staff and vendor relationships. About 25% of business office manager openings tied to North Carolina are remote or hybrid as of October 2026, with fully remote positions most often found in insurance billing management and corporate back-office roles rather than in clinical or campus settings.
How can I get hired as a business office manager in North Carolina with little or no experience?
The most realistic entry path is to start in an administrative coordinator or medical receptionist role at a North Carolina health system or large professional services firm, then move into office supervisor positions as openings arise. Atrium Health and WakeMed Health and Hospitals both post entry-level administrative roles that lead to management tracks. Completing an associate degree in business or healthcare administration at a North Carolina community college, combined with pursuing the Certified Administrative Professional designation, gives candidates a meaningful edge when applying for junior manager openings.
Where can I find and apply to business office manager jobs in North Carolina?
You can find and apply to business office manager jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the listings for roles that match your experience level and preferred location, then apply directly to the ones that fit.
See All 32 Business Office Manager Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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