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Posted August 12, 2026

Business Office Manager

Aspire Senior Living Carthage
Carthage, MO, US Full Time

Job Description

Job Description

Business Office Manager - Aspire Senior Living Carthage

Full-Time Day

Up to $28hr!

Aspire Senior Living Carthage is a leading provider of long-term care services dedicated to enhancing the well-being of our residents. We are committed to providing compassionate and high-quality care in a supportive environment. As we continue to grow, we are seeking a dynamic and detail-oriented individual to join our team as a Business Office Manager.

The Business Office Manager is an important member of our leadership team and helps ensure efficient operations, regulatory compliance, accurate reimbursement, and a positive experience for our residents, families, and employees.

Responsibilities:

  • Manage billing for Medicare, Medicaid, commercial insurance, and private-pay accounts, ensuring accurate and timely reimbursement.

  • Oversee accounts receivable, collections, billing inquiries, reconciliations, and outstanding balances.

  • Manage accounts payable, vendor invoices, payment processing, purchasing, and related recordkeeping.

  • Monitor revenue, expenses, budgets, and financial performance while helping identify opportunities for cost control.

  • Coordinate financial reporting, audits, and regulatory requirements.

  • Manage payroll processes, including timekeeping, payroll processing, deductions, and related documentation.

  • Support human resources functions, including recruitment, onboarding, benefits administration, employee relations, performance management, and training.

  • Maintain accurate and confidential employee and personnel records.

  • Serve as a resource for employees regarding payroll, benefits, and HR-related questions.

  • Ensure accurate and timely submission of claims and assist with resolving billing discrepancies, denials, coding concerns, and appeals.

  • Stay current on healthcare billing regulations, reimbursement requirements, and payer guidelines.

  • Coordinate purchasing of supplies, equipment, and services while monitoring expenditures and vendor agreements.

  • Prepare required reports and data submissions for regulatory agencies, payers, and accrediting organizations.

  • Partner with leadership and department heads to strengthen policies, procedures, internal controls, and regulatory compliance.

  • Assist residents and families with billing questions, financial matters, and available assistance programs.

  • Promote teamwork, professionalism, and open communication across departments.

  • Perform other duties as assigned.

Requirements:

  • 2–3 years of experience in healthcare billing, accounts receivable, payroll, financial management, or a related field.

  • Long-term care, skilled nursing, senior living, or other healthcare experience preferred.

  • Knowledge of Medicare, Medicaid, commercial insurance, healthcare reimbursement, and third-party payer processes.

  • Understanding of human resources practices, employment requirements, and regulatory compliance.

  • Proficiency with accounting and payroll systems and Microsoft Office, particularly Excel and Word.

  • Familiarity with electronic health records (EHR) and healthcare information technology is preferred.

  • Strong attention to detail, analytical thinking, and problem-solving skills.

  • Excellent communication, interpersonal, and customer service skills.

  • Ability to prioritize competing responsibilities and meet deadlines in a fast-paced environment.

  • Commitment to confidentiality, integrity, professionalism, and exceptional service.


    Benefits:

  • 401(k), Holiday Pay & Paid Time Off (PTO)

  • Dental, Health, Vision, Life insurance & more

  • Competitive Wages

  • Advancement Opportunities

  • Exclusive Aspire Senior Living Perks


If you’re ready to bring your financial and administrative experience to a team focused on providing high-quality care and service, Apply today to our Business Office Manager role at Aspire Senior Living Carthage team!

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