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How to hire a business office manager

Business office manager hiring summary. Here are some key points about hiring business office managers in the United States:

  • There are a total of 76,800 business office managers in the US, and there are currently 102,287 job openings in this field.
  • The median cost to hire a business office manager is $1,633.
  • Small businesses spend $1,105 per business office manager on training each year, while large companies spend $658.
  • It takes between 36 and 42 days to fill the average role in the US.
  • It takes approximately 12 weeks for a new employee to reach full productivity levels.
  • HR departments typically allocate 15% of their budget towards recruitment efforts.
  • Chicago, IL, has the highest demand for business office managers, with 15 job openings.

How to hire a business office manager, step by step

To hire a business office manager, consider the skills and experience you are looking for in a candidate, allocate a budget for the position, and post and promote the job opening to reach potential candidates. Follow these steps to hire a business office manager:

Here's a step-by-step business office manager hiring guide:

  • Step 1: Identify your hiring needs
  • Step 2: Create an ideal candidate profile
  • Step 3: Make a budget
  • Step 4: Write a business office manager job description
  • Step 5: Post your job
  • Step 6: Interview candidates
  • Step 7: Send a job offer and onboard your new business office manager
  • Step 8: Go through the hiring process checklist

What does a business office manager do?

A business office manager is responsible for monitoring the various support departments of an organization to ensure a smooth flow of operations and manage the communication systems between the service personnel. Business office managers must have strong leadership and organizational skills to handle different workflow processes and maintain an excellent service for the clients. They also develop strategic procedures, identify business opportunities, and help with team members' professional growth. They analyze financial records, monitor the payroll schedule, and manage inventories.

Learn more about the specifics of what a business office manager does
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  1. Identify your hiring needs

    First, determine the employments status of the business office manager you need to hire. Certain business office manager roles might require a full-time employee, whereas others can be done by part-time workers or contractors.

    Determine employee vs contractor status
    Is the person you're thinking of hiring a US citizen or green card holder?

    A business office manager's background is also an important factor in determining whether they'll be a good fit for the position. For example, business office managers from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

    This list shows salaries for various types of business office managers.

    Type of Business Office ManagerDescriptionHourly rate
    Business Office ManagerAdministrative services managers plan, direct, and coordinate supportive services of an organization. Their specific responsibilities vary by the type of organization and may include keeping records, distributing mail, and planning and maintaining facilities.$21-39
    Manager Of Environmental ServicesAlthough the duties will depend on one's place or industry of employment, a manager of environmental services is primarily responsible for overseeing the environmental programs in a company to ensure efficiency and execution. They are also responsible for examining a company's existing policies and regulations to ensure sustainability in particular areas, devising programs and strategies, coordinating departments across the company, and maintaining an active communication line within the workforce... Show more$15-40
    Billing SupervisorA billing supervisor is primarily in charge of spearheading and overseeing the billing procedures of a company. Typically managing a team of billing specialists and clerks, a billing supervisor must set goals and guidelines, gather and analyze billing data, develop reports to be presented to directors and other executives, and create strategies to optimize billing processes... Show more$18-39
  2. Create an ideal candidate profile

    Common skills:
    • Patients
    • Customer Service
    • Payroll Processing
    • Medicare
    • Medicaid
    • Human Resources
    • Financial Reports
    • Home Health
    • Rehabilitation
    • Data Entry
    • Excellent Organizational
    • Compassion
    • Business Office Functions
    • Accounts Receivables
    Check all skills
    Responsibilities:
    • Perform in-house census daily, manage RFMS accounts for residents, and maintain resident files.
    • Manage a wide and vary range of planning, organizing, and directing the operations of this large CPA firm.
    • Manage a staff to insure claims are correctly code and bill to third-party payers, following ICD and CPT coding guidelines.
    • Perform CPT-4 and ICD-9 coding; leverage coding expertise to ensure accuracy, maintain proper records and achieve compliance with standards.
    • Manage payments receive from Medicare, comply with documentation and assure fulfillment according to regulations.
    • Manage facility procedures relate to insurance and billing and solve patients' queries regarding their insurance renewal and expiry.
    More business office manager duties
  3. Make a budget

    Including a salary range in your business office manager job description helps attract top candidates to the position. A business office manager salary can be affected by several factors, such as geography, experience, seniority, certifications, and the prestige of the hiring company.

    For example, the average salary for a business office manager in Arizona may be lower than in New York, and an entry-level business office manager usually earns less than a senior-level business office manager. Additionally, a business office manager with certifications may command a higher salary, and working for a well-known company or start-up may also impact an employee's pay.

    Average business office manager salary

    $61,217yearly

    $29.43 hourly rate

    Entry-level business office manager salary
    $45,000 yearly salary
    Updated January 22, 2026

    Average business office manager salary by state

    RankStateAvg. salaryHourly rate
    1New York$72,869$35
    2Maryland$65,298$31
    3Virginia$63,451$31
    4Massachusetts$61,699$30
    5Indiana$60,868$29
    6Nevada$59,865$29
    7New Hampshire$57,866$28
    8Minnesota$57,790$28
    9Ohio$57,506$28
    10Texas$57,239$28
    11Oregon$57,174$27
    12California$56,679$27
    13Georgia$56,631$27
    14Illinois$55,171$27
    15Florida$54,875$26
    16Wisconsin$54,266$26
    17Missouri$53,882$26
    18Washington$53,420$26
    19Louisiana$52,806$25
    20Colorado$51,961$25

    Average business office manager salary by company

    RankCompanyAverage salaryHourly rateJob openings
    1Liberty HomeCare and Hospice$75,360$36.231
    2Amedisys$69,708$33.512
    3Care Initiatives$66,839$32.13
    4Citi$66,325$31.895
    5HCR ManorCare$64,838$31.171
    6American Senior Benefits$64,391$30.961
    7Student Conservation Association$63,372$30.47
    8Petersen Health Care$63,227$30.40
    9Next Step Healthcare$62,610$30.10
    10St Margaret's Daughters Home$62,467$30.03
    11Avalon Health Care Group$62,352$29.983
    12Education Affiliates$62,224$29.92
    13Mckendree Village$62,199$29.90
    14Mission Regional Medical Center$61,538$29.597
    15Sierra Health Care$61,481$29.56
    16NHC$61,239$29.444
    17Southern Healthcare$61,229$29.44
    18Institute for Environmental$60,778$29.22
    19Solaris Hospice$60,754$29.21
    20Ciena Healthcare$60,651$29.16
  4. Writing a business office manager job description

    A business office manager job description should include a summary of the role, required skills, and a list of responsibilities. It's also good to include a salary range and the first name of the hiring manager. Below, you can find an example of a business office manager job description:

    Business office manager job description example

    Watermark Retirement Communities has been a leader in the senior housing industry for over 30 years, and our commitment to a strong, positive culture is a significant part of how we achieve that industry leadership. When you walk through the front door of one of our communities, you can feel something special there. This atmosphere comes from a culture of personal, authentic human connection. We invite you to be part of a team where you are encouraged each day to slow down, see the value in every person, and build connections. As a Watermark associate, you will touch lives and create stories, but what you will receive far exceeds what you will give. As one of the Top 25 Best Workplaces for Aging Services by the Great Place to Work Institute, Watermark is committed to offering unique benefits like Dayforce Wallet to improve the lives of our associates. Dayforce Wallet enables our associates to access earnings "on the go" as wages are available, free of charge. Watermark is focused on keeping our communities healthy and our residents thriving through leading edge technology and well-being programs that benefit our entire Watermark family. Learn more Stay Safe. Be Well. We are proud of the talented and nurturing associates that have chosen to work for Watermark, and we honor each of them. Join a company that celebrates people, their stories, and their meaningful interactions-because every interaction matters.

    This is an incredible opportunity for an experienced Accounts Receivable/Accounts Payable Manager. If you have 2-4 years' experience in finance in an Assisted Living setting, you just might be the right candidate.

    We are seeking an outstanding professional to manage day to day financial operations in our senior housing community. The right candidate will be organized, hands on, team player with exceptional communication and time management skills and experienced in being fully responsible for the billing and collections process. You must also have a true passion for working with seniors.
    If your experience and passion fit our criteria, we invite you to answer this ad.

    Job Requirements

    Degree in Accounting, Finance or related field 2-4 years' experience in a financial role in a Senior Housing Setting Excellent organizational skills Computer and systems literate Proven leader
    What you will get from us:

    Comprehensive orientation and onboarding program State of the art systems and tools Excellent benefits Great work environment
    Watermark Retirement Communities, Inc. is an equal opportunity employer, Minority/Female/Disability/Veteran/LGBTQ - proudly embracing diversity in all of its manifestations.

    Watermark Retirement Communities, Inc. is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any associate at Watermark or its affiliates via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Watermark Retirement Communities, Inc. No fee will be paid in the event the candidate is hired by Watermark as a result of the referral or through other means.
  5. Post your job

    To find business office managers for your business, try out a few different recruiting strategies:

    • Consider internal talent. One of the most important talent pools for any company is its current employees.
    • Ask for referrals. Reach out to friends, family members, and your current work to ask if they know any business office managers they would recommend.
    • Recruit at local colleges. Attend job fairs at local colleges to recruit entry-level business office managers with the right educational background.
    • Social media platforms. LinkedIn, Facebook, and Twitter have more than 3.5 billion users, and they're a great place for company branding and reaching potential job candidates.
    Post your job online:
    • Post your business office manager job on Zippia to find and recruit business office manager candidates who meet your exact specifications.
    • Use field-specific websites.
    • Post a job on free websites.
  6. Interview candidates

    Your first interview with business office manager candidates should focus on their interest in the role and background experience. As the hiring process goes on, you can learn more about how they'd fit into the company culture in later rounds of interviews.

    You should also ask about candidates' unique skills and talents to see if they match the ideal candidate profile you developed earlier. Candidates good enough for the next step can complete the technical interview.

    The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

  7. Send a job offer and onboard your new business office manager

    Once you've found the business office manager candidate you'd like to hire, it's time to write an offer letter. This should include an explicit job offer that includes the salary and the details of any other perks. Qualified candidates might be looking at multiple positions, so your offer must be competitive if you like the candidate. Also, be prepared for a negotiation stage, as candidates may way want to tweak the details of your initial offer. Once you've settled on these details, you can draft a contract to formalize your agreement.

    It's equally important to follow up with applicants who don't get the job with an email letting them know that the position has been filled.

    Once that's done, you can draft an onboarding schedule for the new business office manager. Human Resources should complete Employee Action Forms and ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc. They should also ensure that new employee files are created for internal recordkeeping.

  8. Go through the hiring process checklist

    • Determine employee type (full-time, part-time, contractor, etc.)
    • Submit a job requisition form to the HR department
    • Define job responsibilities and requirements
    • Establish budget and timeline
    • Determine hiring decision makers for the role
    • Write job description
    • Post job on job boards, company website, etc.
    • Promote the job internally
    • Process applications through applicant tracking system
    • Review resumes and cover letters
    • Shortlist candidates for screening
    • Hold phone/virtual interview screening with first round of candidates
    • Conduct in-person interviews with top candidates from first round
    • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
    • Conduct background checks on top candidates
    • Check references of top candidates
    • Consult with HR and hiring decision makers on job offer specifics
    • Extend offer to top candidate(s)
    • Receive formal job offer acceptance and signed employment contract
    • Inform other candidates that the position has been filled
    • Set and communicate onboarding schedule to new hire(s)
    • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)
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How much does it cost to hire a business office manager?

Before you start to hire business office managers, it pays to consider both the one-off costs like recruitment, job promotion, and onboarding, as well as the ongoing costs of an employee's salary and benefits. While most companies that hire business office managers pay close attention to the initial cost of hiring, ongoing costs are much more significant in the long run.

You can expect to pay around $61,217 per year for a business office manager, as this is the median yearly salary nationally. This can vary depending on what state or city you're hiring in. If you're hiring for contract work or on a per-project basis, hourly rates for business office managers in the US typically range between $21 and $39 an hour.

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