Regional Business Office Manager Jobs
Regional Business Office Manager jobs are open across healthcare systems, long-term care networks, and hospital groups at every level from supervisor to senior director, with specializations in revenue cycle management, billing compliance, and multi-site operations. See the openings below and apply to the ones that match your experience.
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Showing 5 of 16+ Regional Business Office Manager jobs
Regional Business Office Manager – South Dakota Region
Job Summary
Evergreen Healthcare Group is seeking an experienced Regional Business Office Manager to provide leadership, oversight, and support for the business office operations across our skilled nursing centers in South Dakota. This position partners closely with the Regional Vice President (RVP), Nursing Home Administrators (NHA), Business Office Managers (BOMs), the Vancouver Service Office (VSO), and the Central Billing Office (CBO) to optimize accounts receivable performance, ensure regulatory compliance, and drive successful revenue cycle management.
The Regional Business Office Manager candidate MUST have strong knowledge of Medicare Part A and B, South Dakota Medicaid, and insurance billing and reimbursement practices within skilled nursing facilities.
Essential Functions.
Must have experience using PointClickCare (PCC) software.
Provide leadership and operational oversight for Business Office Managers within the assigned region.
Schedule, organize, and conduct monthly line-by-line Accounts Receivable (A/R) reviews with the BOM, NHA, and Regional Vice President of Operations.
Monitor aging reports and ensure timely follow-up on outstanding balances.
Develop, implement, and monitor action plans to improve collections and reduce outstanding receivables.
Mentor, coach, and support Business Office Managers in daily business office operations and revenue cycle best practices.
Assist communities in researching, understanding, and resolving complex resident account issues.
Develop and maintain collection procedures specific to the assigned geographic region.
Serve as the primary liaison between assigned communities, the Central Billing Office (CBO), and the Vancouver Service Office (VSO).
Monitor Medicaid applications and reimbursement processes to ensure timely completion.
Coordinate with the Legal Department regarding collection matters requiring outside legal counsel.
Track and process legal fees associated with collection activities.
Participate in A/R Roundtable meetings and provide regional performance updates.
Verify split billing (where applicable) is completed accurately and timely.
Ensure collection logs are completed accurately and maintained consistently.
Analyze regional financial trends and identify opportunities to improve cash collections and business office performance.
Assist with onboarding and training new Business Office Managers as needed.
Travel throughout the assigned region to support communities as required.
Knowledge, Skills, and Abilities
Thorough knowledge of skilled nursing facility business office operations and revenue cycle management.
Strong understanding of Medicare, Medicaid, Managed Care, Private Pay, and insurance billing processes.
Knowledge of state and federal regulations related to long-term care business office operations.
Ability to analyze Accounts Receivable data and develop effective collection strategies.
Strong leadership, coaching, and mentoring skills.
Excellent organizational, communication, and interpersonal skills.
Ability to build productive working relationships across multiple communities.
Demonstrated ability to manage multiple priorities independently.
Strong computer proficiency, including PointClickCare and Microsoft Office applications.
Ability to maintain confidentiality and exercise sound judgment.
Positive attitude with strong problem-solving abilities.
Ability to adapt to changing priorities while maintaining high-performance standards.
Ability to perform the essential functions of the position with or without reasonable accommodation.
Education, Licensure, and Experience
Minimum of five (5) years of skilled nursing business office experience required.
Previous multi-site, regional, or leadership experience strongly preferred.
Extensive Accounts Receivable and revenue cycle management experience required.
PointClickCare (PCC) experience required.
Excellent communication, organizational, and leadership skills.
Associate's or Bachelor's degree in Business Administration, Healthcare Administration, Accounting, or a related field preferred.
Benefit Highlights
Private Health Care Plan (Medical, Dental, Vision)
Life Insurance
Employee Assistance Program
Training & Development Opportunities
We strive to embody and stand for both a spirit and value system that encourages loyalty, honesty, and a commitment to caring from our belief that people are always the number one priority.
Evergreen Healthcare Group
4601 Northeast 77th Avenue, Suite 300
Vancouver, WA 98662
Evergreen Healthcare Group is an Equal Opportunity Employer.
Regional Business Office Manager – South Dakota Region
Job Summary
Evergreen Healthcare Group is seeking an experienced Regional Business Office Manager to provide leadership, oversight, and support for the business office operations across our skilled nursing centers in South Dakota. This position partners closely with the Regional Vice President (RVP), Nursing Home Administrators (NHA), Business Office Managers (BOMs), the Vancouver Service Office (VSO), and the Central Billing Office (CBO) to optimize accounts receivable performance, ensure regulatory compliance, and drive successful revenue cycle management.
The Regional Business Office Manager candidate MUST have strong knowledge of Medicare Part A and B, South Dakota Medicaid, and insurance billing and reimbursement practices within skilled nursing facilities.
Essential Functions.
Must have experience using PointClickCare (PCC) software.
Provide leadership and operational oversight for Business Office Managers within the assigned region.
Schedule, organize, and conduct monthly line-by-line Accounts Receivable (A/R) reviews with the BOM, NHA, and Regional Vice President of Operations.
Monitor aging reports and ensure timely follow-up on outstanding balances.
Develop, implement, and monitor action plans to improve collections and reduce outstanding receivables.
Mentor, coach, and support Business Office Managers in daily business office operations and revenue cycle best practices.
Assist communities in researching, understanding, and resolving complex resident account issues.
Develop and maintain collection procedures specific to the assigned geographic region.
Serve as the primary liaison between assigned communities, the Central Billing Office (CBO), and the Vancouver Service Office (VSO).
Monitor Medicaid applications and reimbursement processes to ensure timely completion.
Coordinate with the Legal Department regarding collection matters requiring outside legal counsel.
Track and process legal fees associated with collection activities.
Participate in A/R Roundtable meetings and provide regional performance updates.
Verify split billing (where applicable) is completed accurately and timely.
Ensure collection logs are completed accurately and maintained consistently.
Analyze regional financial trends and identify opportunities to improve cash collections and business office performance.
Assist with onboarding and training new Business Office Managers as needed.
Travel throughout the assigned region to support communities as required.
Knowledge, Skills, and Abilities
Thorough knowledge of skilled nursing facility business office operations and revenue cycle management.
Strong understanding of Medicare, Medicaid, Managed Care, Private Pay, and insurance billing processes.
Knowledge of state and federal regulations related to long-term care business office operations.
Ability to analyze Accounts Receivable data and develop effective collection strategies.
Strong leadership, coaching, and mentoring skills.
Excellent organizational, communication, and interpersonal skills.
Ability to build productive working relationships across multiple communities.
Demonstrated ability to manage multiple priorities independently.
Strong computer proficiency, including PointClickCare and Microsoft Office applications.
Ability to maintain confidentiality and exercise sound judgment.
Positive attitude with strong problem-solving abilities.
Ability to adapt to changing priorities while maintaining high-performance standards.
Ability to perform the essential functions of the position with or without reasonable accommodation.
Education, Licensure, and Experience
Minimum of five (5) years of skilled nursing business office experience required.
Previous multi-site, regional, or leadership experience strongly preferred.
Extensive Accounts Receivable and revenue cycle management experience required.
PointClickCare (PCC) experience required.
Excellent communication, organizational, and leadership skills.
Associate's or Bachelor's degree in Business Administration, Healthcare Administration, Accounting, or a related field preferred.
Benefit Highlights
Private Health Care Plan (Medical, Dental, Vision)
Life Insurance
Employee Assistance Program
Training & Development Opportunities
We strive to embody and stand for both a spirit and value system that encourages loyalty, honesty, and a commitment to caring from our belief that people are always the number one priority.
Evergreen Healthcare Group
4601 Northeast 77th Avenue, Suite 300
Vancouver, WA 98662
Evergreen Healthcare Group is an Equal Opportunity Employer.
Regional Business Office Manager Jobs by Experience Level
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Find JobsRegional Business Office Manager Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in regional business office manager jobs.
- Five or more years of healthcare revenue cycle or business office management experience
- Demonstrated oversight of billing, collections, and accounts receivable across multiple facilities
- Proficiency with healthcare practice management and electronic health record systems
- Knowledge of Medicare, Medicaid, and commercial payer billing regulations and compliance requirements
- Bachelor's degree in healthcare administration, business, or a related field
- Experience leading and developing on-site and remote business office staff across locations
Tips for Your Regional Business Office Manager Job Search
Quantify multi-site oversight on your resume
Regional business office manager roles reward proof of scale. List the number of facilities you oversaw, the volume of accounts managed, and any reductions in days outstanding. Hiring managers compare candidates on operational scope, so concrete numbers carry more weight than responsibility descriptions.
Highlight revenue cycle certifications prominently
Certifications like CRCE or CRCR signal coding and billing fluency that regional roles demand. Place them in a dedicated credentials section near the top of your resume, not buried in a skills list, so they surface quickly during an applicant tracking system review.
Apply early to roles that fit
Migrate Mate lists regional business office manager openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter openings by facility type and system size
Job titles vary significantly between independent practices, regional health systems, and national long-term care chains. Search by facility type alongside your title so you target environments where your payer mix experience, whether Medicare, Medicaid, or commercial, actually aligns with what the employer needs.
Prepare a compliance and audit example for interviews
Interviewers for regional business office manager roles consistently ask how you've handled a billing audit, payer dispute, or regulatory finding across multiple sites. Prepare one specific example with a clear action you took and a measurable outcome that resolved the issue.
Negotiate scope before discussing compensation
In a final-round conversation, clarify how many locations fall under the role, whether direct reports are on-site or remote, and what technology standardization looks like across sites. Scope directly affects workload and leverage, so settling those details before salary discussions gives you a stronger negotiating position.
Regional Business Office Manager Jobs: Frequently Asked Questions
Which companies are hiring the most regional business office managers?
The companies hiring the most regional business office managers right now include Dominium, Living Legends, and MFA consulting, with the largest share of openings in Texas, Ohio, and Florida, based on current listings on Migrate Mate as of November 2026. Healthcare systems and long-term care operators tend to post the highest volume of regional roles.
How do you become a regional business office manager?
Start by building several years of experience in a single-site business office or revenue cycle role in healthcare or a related field. Progress into a supervisory position managing billing staff, then pursue a regional coordinator or multi-site manager role to gain oversight experience. Earning a healthcare billing certification and demonstrating compliance knowledge accelerates advancement into the regional manager level.
Can you get hired as a regional business office manager with limited experience?
Moving directly into a regional role with no management experience is uncommon, but candidates who have led billing teams at a single large facility and can show measurable outcomes in collections or compliance are competitive for smaller regional portfolios. Emphasizing your systems knowledge, payer expertise, and any cross-site project involvement closes the experience gap more effectively than credentials alone.
What does the regional business office manager interview process look like?
Expect a multi-stage process that typically opens with a phone screen focused on your revenue cycle background and scope of past oversight. A panel interview with operations leadership and finance follows, often including scenario questions about handling a struggling location or payer dispute. Final rounds may include a site visit or a presentation on how you would approach standardizing processes across the region.
Where can I find and apply to regional business office manager jobs?
You can find and apply to regional business office manager jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your experience level and facility type, then apply directly to each opening that fits.
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