Healthcare Business Office Manager

Skilled Nursing Professionals · Houston, TX Full Time
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Job Description

Misty Willow Healthcare and Rehabilitation Center Come join our team and start making a difference! Healthcare Business Office Manager Full-time The role of the Business Office Manager is to direct the accounting functions of the facility in accordance with current acceptable accounting and cost reimbursement principles relating to the long-term care industry. Qualifications We are seeking a positive, talented and experienced candidate for this position. A minimum of 2-3 year experience in a healthcare billing in long term care/skilled nursing environment is required. Bachelor's or Associate's degree from accredited college with specialization in business or accounting is preferred. Strong communication and interpersonal skills Professional and organized with stellar time management Solid leadership and relationship/team building skills- prior leadership/supervisor experience strongly preferred Solid hands-on experience with medical billing including medicare and managed care billing required Motivated with a can-do attitude: creates and fosters a positive work experience for self and others Will you pledge to live CAPLICO? Misty Willow Healthcare and Rehabilitation Center's commitment to excellence extends beyond delivering world class health care. Our company mission is to dignify and transform post-acute care. Our facility’s success is dependent upon our highly motivated clinical professionals working to improve business operations. Our leadership team is driven to provide exceptional service by cultivating a workforce that is dedicated to upholding our company’s mission of delivering care with compassion and integrity. We value innovation and creativity in our buildings and love a healthy debate that challenges us to learn and grow. Are you ready to discover the world of limitless possibilities that comes with being a member of our culture? Are you a BOM who is eager to make a difference? Explore more about this opportunity and how you can help us write a new chapter in our story of providing exceptional care and making a positive impact in the lives of everyone we serve. Living CAPLICO…… CAPLICO Customer Second: When we take care of our team first, it reflects positively on our customer care. Accountability: We strive for quality of life and reach for high standards as a team. Passion For Learning: We want to be at the forefront of change; there is always something we can learn. Love One Another: Treat others the way you want to be treated. It’s simple, yet effective. Intelligent Risk Taking: If something makes sense, we’re willing to give it a try. Celebration: We celebrate life every day of the year with our teammates and residents. Ownership: When everyone on the team is encouraged to take ownership of the care that they give, it positively improves their attitude, which affects everyone around them, from teammates to residents. We would love to meet you and hear your pledge to live CAPLICO with us. In addition to hiring a Healthcare Business Office Manager who exhibits the above qualities that help us create a world class culture, we offer competitive wages, mentorship and training fo

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.

What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the Houston market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.

Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the Houston metro area earn a median wage of $59.81/hr ($124,405/yr). The typical range is $45.69 – $78.44/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
Houston Median $124,405/yr
Experienced (90th) $206,565/yr
vs. National Median +0.4%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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