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Posted July 31, 2026
Robert Half

Business Office Manager

San Antonio, TX 78239-3098, US Full Time
Compensation: $70 to $80 Yearly

We are looking for a Business Office Manager to oversee the day-to-day administrative and financial office activities that support a healthcare center in San Antonio, Texas. This role works closely with leadership and interdisciplinary teams to keep resident account information, admissions documentation, billing activity, and required reporting accurate and current. The ideal candidate brings strong organizational skills, sound judgment, and the ability to manage multiple priorities while maintaining compliance and confidentiality.

Responsibilities:
• Partner with healthcare leadership to keep business office operations organized, responsive, and aligned with daily facility needs.
• Review resident insurance coverage before admission and on a recurring basis to confirm eligibility updates and prevent coverage discrepancies.
• Maintain accurate census and payer records by coordinating information with clinical, admissions, rehab, and other internal departments.
• Prepare and process admission paperwork, ensuring all required forms are completed correctly, signed, and properly stored in resident records.
• Support billing workflows by validating account details, coding invoices, and confirming Medicare, Tricare, and other payer information for accuracy.
• Serve as the primary financial contact for residents and family members by addressing billing questions and assisting with long-term care insurance claim needs.
• Complete managed care and Tricare authorization activities within required timelines, including recurring reviews and supporting documentation.
• Track receivables and monitor bad debt trends, helping leadership address account issues before they escalate.
• Compile and submit monthly operational reports, including occupancy and death reporting, and assist with documentation requests related to audits or regulatory reviews.
• Uphold privacy, safety, and compliance standards in all business office activities and contribute to committees or additional assignments as needed.

Qualifications:

• Associate degree in Business or a related field, or at least two years of experience in a business office management role within long-term care.
• Demonstrated ability to manage detailed administrative work, balance competing priorities, and meet recurring deadlines consistently.
• Strong interpersonal skills with the ability to work professionally and collaboratively in a team-based healthcare environment.
• Clear verbal and written communication skills for interacting with leadership, residents, families, and external partners.
• Proficiency with Microsoft Office applications, including Word, Outlook, and Excel.
• Commitment to maintaining confidentiality and handling sensitive information with professionalism and integrity.
• Availability to work standard business hours Monday through Friday, with flexibility for occasional evening or weekend support when needed.
• Ability to pass required background screening, perform physical tasks such as prolonged standing or sitting, lift up to 50 pounds, and maintain a valid Texas driver's license.

Compensation

$70,000.00-$80,000.00 Yearly

About Us

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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