Business Office Manager (BOM) at Ciena Healthcare in Asheville, NC

We are seeking a results-driven Business Office Manager to lead revenue cycle operations within our skilled nursing facility. The ideal candidate is detail-oriented, highly organized, and proactive with a strong ability to collaborate across departments to ensure seamless financial operations and optimal revenue cycle performance.

We’ve been recognized by Newsweek and Plant-A Insights Group as one of America’s Most Admired Workplaces for 2026! As an employee recently said, “I feel I have a lot of support. I feel like part of the team.”

Position Summary:

This role is critical to driving cash collections, reducing accounts receivable aging, and ensuring overall financial accuracy and compliance. The Business Office Manager is responsible for overseeing the daily operations of the business office, ensuring adherence to regulatory and company standards. Key responsibilities include managing census, daily deposits and cash posting, private pay collections, resident trust accounts, and Medicaid eligibility processes. This role also partners closely with the billing team to support the accurate and timely submission of insurance claims and resolution of billing issues.

Advantages:

• Flexible Pay Options – Choose On-Demand Pay and get paid as soon as tomorrow for work done today or opt for our Weekly Pay schedule!
• Positive, Family-Like Atmosphere – Work in a fun, supportive environment where teamwork and care go hand-in-hand.
• Generous PTO & Benefits – Enjoy a comprehensive benefits package designed to support your well-being and work-life balance.
• Career Growth Opportunities – Take advantage of our Loan and Forgiveness program as well as other educational programs to advance your nursing career.
• Strong, Stable Leadership – Join a team led by experienced managers who are committed to customer service excellence and staff development.

Benefits and Perks*:

• DAILY Pay!
• Benefit eligibility the first of the month following 30 days
• Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution.
• 401K through Fidelity
• Employer-paid life insurance (FT employees)
• Robust Employee Assistance Program
• Generous Paid Time Off (PTO)
• Educational, leadership, and tuition opportunities
• Various discount programs offered, including discounted childcare programs through KinderCare
• Wellness programs offered through WebMD
• Employee recognition programs
• Culture of employees creating an IMPACT!

Education/Qualifications:

• High school diploma or equivalent required; some college coursework in business, healthcare administration, or a related field preferred
• Must have, as a minimum, two (2) years experience in a long-term care business office or other related healthcare setting
• Working knowledge of health insurance payers, including Medicare, Medicaid, and Managed Care plans
• Understanding of Medicaid eligibility requirements and the application process, including follow-up and documentation coordination
• Ability to communicate professionally and tactfully with residents, families, staff, and external partners
• Strong organizational and time management skills, with the ability to manage multiple priorities in a fast-paced environment
• Proficiency in Microsoft Office applications, including Outlook and Excel; experience with healthcare billing or electronic systems preferred

Shift & Wage:

• Full-Time Opportunity Available

• Shift Needed: Monday - Friday, Days

  • Occasional Weekends

• Wage: $27.00 - $32.00 per hour

*Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.