Regional Business Office Manager (RBOM) – Revenue Cycle / Billing & Collections
NHS Management, LLC, El Paso, TX, United States
JOB DETAILS
Run the Numbers. Fix the Process. Lead the Team.
NHS Management, LLC is hiring a
Regional Business Office Manager (RBOM)
to lead
medical billing, collections, and revenue cycle performance
across multiple skilled nursing facilities.
This role is built for someone who knows how to:
Clean up aging AR
Fix broken billing processes
Hold teams accountable for collections performance
If you’ve worked in SNF billing and know how to turn receivables into cash, this is where you make an impact.
What You’ll Own (Day 1 Focus)
Billing & Collections Performance
Oversee Medicare, Medicaid, Managed Care, and private pay billing
Drive collections strategy to reduce AR days and increase cash flow
Manage and resolve denials, underpayments, and billing issues
Ensure clean claims submission and aggressive follow-up
Monitor AR aging reports and take immediate action on problem accounts
Team Leadership (Multi‑Facility)
Lead and support Business Office Managers, billers, and financial staff
Train and coach teams on billing accuracy and collections discipline
Hold facilities accountable for performance metrics and deadlines
Step in to stabilize underperforming business offices
Revenue Cycle Oversight
Analyze cash collections, AR trends, and reimbursement performance
Identify gaps and implement process improvements across facilities
Partner with Administrators and DONs to align census and financial outcomes
Support budgeting with a focus on revenue capture and reimbursement accuracy
Compliance & Accuracy
Ensure compliance with Medicare, Medicaid, and payer guidelines
Maintain audit‑ready documentation and billing practices
Support internal and external audits
What You Need To Bring
3–5+ years of SNF / Long‑Term Care billing & collections experience
Experience managing or supporting multiple facilities or business offices
Strong knowledge of Medicare Part A & B, Medicaid, Managed Care / Insurance billing
Proven success in reducing AR aging, improving collections, fixing billing issues
Leadership experience with billing teams, BOMs, or financial staff
Strong Excel and reporting skills
Associate’s degree required | Bachelor’s preferred
Keywords That Matter (What You Should Already Know)
Revenue Cycle
AR Management
Medical Billing
SNF Billing
Collections
Denials Management
Medicare
Medicaid
Managed Care
Business Office Operations
Why This Role Matters
This Position Directly Impacts
Cash flow
Financial stability of facilities
Team performance across the region
Your ability to drive collections and build accountable teams will show up immediately in the numbers.
What You’ll Get
Competitive compensation + full benefits
Multi‑facility leadership exposure
Growth opportunity within a stable healthcare organization
Bottom Line
If you’ve been the person everyone calls when AR is out of control or billing is falling apart—this is your role.
#J-18808-Ljbffr
Run the Numbers. Fix the Process. Lead the Team.
NHS Management, LLC is hiring a
Regional Business Office Manager (RBOM)
to lead
medical billing, collections, and revenue cycle performance
across multiple skilled nursing facilities.
This role is built for someone who knows how to:
Clean up aging AR
Fix broken billing processes
Hold teams accountable for collections performance
If you’ve worked in SNF billing and know how to turn receivables into cash, this is where you make an impact.
What You’ll Own (Day 1 Focus)
Billing & Collections Performance
Oversee Medicare, Medicaid, Managed Care, and private pay billing
Drive collections strategy to reduce AR days and increase cash flow
Manage and resolve denials, underpayments, and billing issues
Ensure clean claims submission and aggressive follow-up
Monitor AR aging reports and take immediate action on problem accounts
Team Leadership (Multi‑Facility)
Lead and support Business Office Managers, billers, and financial staff
Train and coach teams on billing accuracy and collections discipline
Hold facilities accountable for performance metrics and deadlines
Step in to stabilize underperforming business offices
Revenue Cycle Oversight
Analyze cash collections, AR trends, and reimbursement performance
Identify gaps and implement process improvements across facilities
Partner with Administrators and DONs to align census and financial outcomes
Support budgeting with a focus on revenue capture and reimbursement accuracy
Compliance & Accuracy
Ensure compliance with Medicare, Medicaid, and payer guidelines
Maintain audit‑ready documentation and billing practices
Support internal and external audits
What You Need To Bring
3–5+ years of SNF / Long‑Term Care billing & collections experience
Experience managing or supporting multiple facilities or business offices
Strong knowledge of Medicare Part A & B, Medicaid, Managed Care / Insurance billing
Proven success in reducing AR aging, improving collections, fixing billing issues
Leadership experience with billing teams, BOMs, or financial staff
Strong Excel and reporting skills
Associate’s degree required | Bachelor’s preferred
Keywords That Matter (What You Should Already Know)
Revenue Cycle
AR Management
Medical Billing
SNF Billing
Collections
Denials Management
Medicare
Medicaid
Managed Care
Business Office Operations
Why This Role Matters
This Position Directly Impacts
Cash flow
Financial stability of facilities
Team performance across the region
Your ability to drive collections and build accountable teams will show up immediately in the numbers.
What You’ll Get
Competitive compensation + full benefits
Multi‑facility leadership exposure
Growth opportunity within a stable healthcare organization
Bottom Line
If you’ve been the person everyone calls when AR is out of control or billing is falling apart—this is your role.
#J-18808-Ljbffr