Business Office Manager Jobs in USA with Visa Sponsorship
Business Office Managers handle financial operations, patient billing, and administrative oversight in healthcare facilities, making them strong candidates for H-1B and other work visa sponsorship. The role typically requires a bachelor's degree in business administration, healthcare management, or accounting, which aligns well with specialty occupation requirements for visa approval. For detailed occupation requirements, see the O*NET profile.
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Overview
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities
Healthcare is evolving. Patients and their families expect more from healthcare centers and team members - they expect a well-evaluated, personalized quality of service that meets them where they are. They expect skilled practitioners and experts that push the boundaries of ordinary service to excellence in care. This is a new era of skilled nursing and long term care - one that empowers and nurtures, leads with compassion, and leaves a lasting impression. At Genesis, we know that we can only accomplish this if we have passionate healthcare providers and skilled experts in our centers, close to the patients themselves, and connected to their outcomes. Join our diverse team of passionate healthcare providers working to create vitality for life.
- Are you experienced in driving Revenue Cycle Management (RCM) performance at the center level, with a focus on measurable outcomes?
- Can you lead and improve all aspects of the revenue cycle—from pre-admission through discharge—to maximize timely and accurate revenue collection?
- Do you thrive in a collaborative environment, working closely with Market leaders and support teams to achieve positive accounts receivable (AR) outcomes?
- Are you confident in identifying training needs and communicating them effectively to ensure continuous performance improvement across your team?
- Do you consistently demonstrate a strong understanding of your responsibilities and ensure tasks are executed with attention to detail and timeliness?
- Are you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement, and Social Services to maintain accurate and compliant patient account management?
Does this sound like you? If so, apply to join our team as a Business Office Manager and take the lead in driving financial excellence at the center level! This is more than a back-office role — it’s a key leadership position where your skills in revenue cycle management, people development, and process execution will directly support our mission of delivering exceptional care.
What You’ll Do
As a Business Office Manager, you’ll oversee the full spectrum of revenue cycle management functions — from pre-admission to discharge. Your focus will be on optimizing collections, ensuring compliance, and leading a high-performing business office team that may include Assistant Business Office Managers, Bookkeepers, and Receptionists.
You Will
- Lead day-to-day revenue operations including census management, billing, collections, adjustments, and Medicaid tracking.
- Collaborate across departments including Admissions, Clinical Reimbursement, and Social Services to ensure accurate and timely patient account management.
- Act as a financial liaison during the resident journey — from conducting financial interviews during admission to assisting with discharge obligations.
- Support compliance with state, federal, and corporate guidelines — including cash handling procedures and segregation of duties.
- Use your expertise in revenue cycle performance metrics (bad debt, cash collections %, AR aging, and DSO) to identify challenges and develop sustainable, action-oriented solutions.
- Partner with Market RCM leaders to align with broader business office initiatives and access tools and support as needed.
Qualifications
- A high school diploma or equivalent is required
- A degree or post-secondary education or additional coursework in accounting or finance is preferred.
- At least five years of experience in billing and collections is required - experience in billing and collections in a long-term care setting is preferred.
- A strong understanding of RCM systems, processes, and performance metrics.
- A collaborative mindset with the ability to lead and develop a business office team.
- Confidence and professionalism in working with residents, families, and center leaders.
Benefits
- Variable compensation plans
- Tuition, Travel, and Wireless Service Discounts
- Employee Assistance Program to support mental health
- Employee Foundation to financially assist through unforeseen hardships
- Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
- Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
- On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
We Also Offer Several Voluntary Insurances Such As
- Pet Insurance
- Term and Whole Life Insurance
- Short-term Disability
- Hospital Indemnity
- Personal Accident
- Critical Illness
- Cancer Coverage
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Posted Salary Range
USD $60,000.00 - USD $75,000.00 /Yr.

Overview
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities
Healthcare is evolving. Patients and their families expect more from healthcare centers and team members - they expect a well-evaluated, personalized quality of service that meets them where they are. They expect skilled practitioners and experts that push the boundaries of ordinary service to excellence in care. This is a new era of skilled nursing and long term care - one that empowers and nurtures, leads with compassion, and leaves a lasting impression. At Genesis, we know that we can only accomplish this if we have passionate healthcare providers and skilled experts in our centers, close to the patients themselves, and connected to their outcomes. Join our diverse team of passionate healthcare providers working to create vitality for life.
- Are you experienced in driving Revenue Cycle Management (RCM) performance at the center level, with a focus on measurable outcomes?
- Can you lead and improve all aspects of the revenue cycle—from pre-admission through discharge—to maximize timely and accurate revenue collection?
- Do you thrive in a collaborative environment, working closely with Market leaders and support teams to achieve positive accounts receivable (AR) outcomes?
- Are you confident in identifying training needs and communicating them effectively to ensure continuous performance improvement across your team?
- Do you consistently demonstrate a strong understanding of your responsibilities and ensure tasks are executed with attention to detail and timeliness?
- Are you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement, and Social Services to maintain accurate and compliant patient account management?
Does this sound like you? If so, apply to join our team as a Business Office Manager and take the lead in driving financial excellence at the center level! This is more than a back-office role — it’s a key leadership position where your skills in revenue cycle management, people development, and process execution will directly support our mission of delivering exceptional care.
What You’ll Do
As a Business Office Manager, you’ll oversee the full spectrum of revenue cycle management functions — from pre-admission to discharge. Your focus will be on optimizing collections, ensuring compliance, and leading a high-performing business office team that may include Assistant Business Office Managers, Bookkeepers, and Receptionists.
You Will
- Lead day-to-day revenue operations including census management, billing, collections, adjustments, and Medicaid tracking.
- Collaborate across departments including Admissions, Clinical Reimbursement, and Social Services to ensure accurate and timely patient account management.
- Act as a financial liaison during the resident journey — from conducting financial interviews during admission to assisting with discharge obligations.
- Support compliance with state, federal, and corporate guidelines — including cash handling procedures and segregation of duties.
- Use your expertise in revenue cycle performance metrics (bad debt, cash collections %, AR aging, and DSO) to identify challenges and develop sustainable, action-oriented solutions.
- Partner with Market RCM leaders to align with broader business office initiatives and access tools and support as needed.
Qualifications
- A high school diploma or equivalent is required
- A degree or post-secondary education or additional coursework in accounting or finance is preferred.
- At least five years of experience in billing and collections is required - experience in billing and collections in a long-term care setting is preferred.
- A strong understanding of RCM systems, processes, and performance metrics.
- A collaborative mindset with the ability to lead and develop a business office team.
- Confidence and professionalism in working with residents, families, and center leaders.
Benefits
- Variable compensation plans
- Tuition, Travel, and Wireless Service Discounts
- Employee Assistance Program to support mental health
- Employee Foundation to financially assist through unforeseen hardships
- Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
- Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
- On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned
We Also Offer Several Voluntary Insurances Such As
- Pet Insurance
- Term and Whole Life Insurance
- Short-term Disability
- Hospital Indemnity
- Personal Accident
- Critical Illness
- Cancer Coverage
Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Posted Salary Range
USD $60,000.00 - USD $75,000.00 /Yr.
How to Get Visa Sponsorship as a Business Office Manager
Emphasize healthcare industry specialization
Highlight experience with medical billing, HIPAA compliance, and healthcare revenue cycle management. These specialized skills differentiate your role from general office management positions.
Document degree relevance clearly
Show how your business, healthcare administration, or accounting degree directly relates to managing healthcare financial operations, patient accounts, and regulatory compliance requirements.
Quantify operational improvements
Provide specific examples of cost savings, efficiency gains, or process improvements you've implemented in billing operations, staff management, or compliance systems.
Target healthcare employers actively
Focus on hospitals, medical practices, and healthcare systems that regularly sponsor visas. These employers understand the specialized nature of healthcare business operations.
Highlight regulatory knowledge
Demonstrate expertise in healthcare regulations like HIPAA, Medicare billing, and insurance claim processing. This specialized knowledge supports specialty occupation classification under immigration law.
Consider certification programs
Pursue relevant certifications like Certified Healthcare Financial Professional (CHFP) or medical billing certifications to strengthen your specialty occupation credentials for visa applications.
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Get Access To All JobsFrequently Asked Questions
Do Business Office Managers qualify for H-1B visa sponsorship?
Yes, Business Office Managers in healthcare settings typically qualify for H-1B sponsorship as the role requires specialized knowledge of healthcare billing, regulatory compliance, and financial management. The position usually requires a bachelor's degree in business administration, healthcare management, or accounting, meeting specialty occupation requirements.
What degree do I need for H-1B sponsorship as a Business Office Manager?
Most successful H-1B petitions for Business Office Managers require a bachelor's degree in business administration, healthcare administration, accounting, or finance. Some positions may accept equivalent experience (3 years of work experience per 1 year of missing education), but a relevant degree significantly strengthens the petition.
Which employers are most likely to sponsor Business Office Managers?
Large hospital systems, specialty medical practices, outpatient surgery centers, and healthcare networks are most likely to sponsor H-1B visas for Business Office Managers. These employers often have established immigration processes and understand the specialized nature of healthcare business operations requiring visa sponsorship.
How can I make my Business Office Manager role sound more specialized for visa purposes?
Emphasize healthcare-specific responsibilities like medical coding oversight, insurance contract negotiation, HIPAA compliance management, and revenue cycle optimization. Focus on tasks requiring specialized healthcare industry knowledge rather than general administrative duties that any office manager could perform.
Can Business Office Managers get green cards through their employer?
Yes, Business Office Managers can pursue employment-based green cards, typically through EB-2 or EB-3 categories depending on their education and experience level. The PERM labor certification process requires demonstrating that no qualified U.S. workers are available for the specific healthcare business management position.
What is the prevailing wage requirement for sponsored Business Office Manager jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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