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.
Business office manager responsibilities
Here are examples of responsibilities from real business office manager resumes:
- 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.
- Handle all accounts receivable for entire facility by billing to HMO's, medicare, medicaid and private accounts.
- Process monthly billing (resident, Medicaid and Medicare supplement), A/P, A/R and monthly and quarterly accounting reports.
- Prepare and enter all payroll and benefit journals into general ledger and perform monthly reconciliations.
- Excel in negotiations on pricing/invoices, reconciliations of accounts receivables, and general office relate functions.
- Account for all billing (A/P & A/R).
- Assure accuracy of all postings to ledgers.
- Help with training new business office coordinators.
- Notify BOM of any issues unable to handle.
- Assist with EMR transition (NextGen to Athena).
Business office manager skills and personality traits
We calculated that 11% of Business Office Managers are proficient in Patients, Customer Service, and Payroll Processing. They’re also known for soft skills such as Analytical skills, Detail oriented, and Communication skills.
We break down the percentage of Business Office Managers that have these skills listed on their resume here:
- Patients, 11%
Worked with physicians and staff to ensure program operations and communication with patients, community, and industry professionals
- Customer Service, 7%
Administered and maintained front office operations, incoming calls, and customer service for two outpatient physical therapy rehabilitation clinics.
- Payroll Processing, 7%
Prepared and reviewed operational reports and schedules to ensure accuracy and efficiency of payroll processing in a timely and accurate manner.
- Medicare, 6%
Review and approve bills sent to facility from providers unable to bill Medicare according to Skilled Nursing Facility consolidated billing guidelines.
- Medicaid, 6%
Assisted with Medicaid application process by completing application, interview, and obtaining the necessary verification needed to receive approval.
- Human Resources, 5%
Managed exceptional vendor relations for cost effective material purchases and responsible for a variety of human resources functions.
Most business office managers use their skills in "patients," "customer service," and "payroll processing" to do their jobs. You can find more detail on essential business office manager responsibilities here:
Analytical skills. To carry out their duties, the most important skill for a business office manager to have is analytical skills. Their role and responsibilities require that "administrative services managers must be able to review an organization’s procedures and find ways to improve efficiency." Business office managers often use analytical skills in their day-to-day job, as shown by this real resume: "perform computer input of resident data, census and billing information, cash receipts posting. "
Detail oriented. Another soft skill that's essential for fulfilling business office manager duties is detail oriented. The role rewards competence in this skill because "administrative services managers must pay attention to details." According to a business office manager resume, here's how business office managers can utilize detail oriented in their job responsibilities: "compiled reports for statistics related to cash receipts, expenditures, accounts payable/receivable and profit/loss details. "
Communication skills. business office managers are also known for communication skills, which are critical to their duties. You can see how this skill relates to business office manager responsibilities, because "much of an administrative services manager’s time is spent working with other people." A business office manager resume example shows how communication skills is used in the workplace: "worked closely with families helping file insurance claims and communication between families and insurance companies. "
Leadership skills. A big part of what business office managers do relies on "leadership skills." You can see how essential it is to business office manager responsibilities because "in managing workers and coordinating administrative duties, administrative services managers must be able to motivate employees and deal with issues that may arise." Here's an example of how this skill is used from a resume that represents typical business office manager tasks: "maintain facility petty cash and monthly reconciliation prepare and report daily census at morning leadership meeting. "
The three companies that hire the most business office managers are:
- Brookdale Senior Living18 business office managers jobs
- Nexion Health13 business office managers jobs
- Consulate Health Care12 business office managers jobs
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Business office manager vs. Manager of environmental services
Although 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. Furthermore, as a manager of environmental services, it is essential to adhere to the vision, mission, and goals of the company.
While similarities exist, there are also some differences between business office managers and manager of environmental services. For instance, business office manager responsibilities require skills such as "payroll processing," "medicare," "medicaid," and "financial reports." Whereas a manager of environmental services is skilled in "healthcare," "environmental services," "infection control," and "payroll." This is part of what separates the two careers.
Managers of environmental services earn the highest salaries when working in the health care industry, with an average yearly salary of $65,419. On the other hand, business office managers are paid more in the health care industry with an average salary of $57,981.The education levels that managers of environmental services earn slightly differ from business office managers. In particular, managers of environmental services are 0.5% more likely to graduate with a Master's Degree than a business office manager. Additionally, they're 0.4% more likely to earn a Doctoral Degree.Business office manager vs. Billing supervisor
A 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. They must also monitor all procedures, ensuring it complies with the company's policies. Furthermore, as a supervisor, they must lead and encourage the workforce to reach goals while implementing the rules and regulations of the company.
In addition to the difference in salary, there are some other key differences worth noting. For example, business office manager responsibilities are more likely to require skills like "payroll processing," "medicare," "human resources," and "home health." Meanwhile, a billing supervisor has duties that require skills in areas such as "billing procedures," "billing issues," "medical claims," and "billing process." These differences highlight just how different the day-to-day in each role looks.
Billing supervisors may earn a lower salary than business office managers, but billing supervisors earn the most pay in the professional industry with an average salary of $61,827. On the other hand, business office managers receive higher pay in the health care industry, where they earn an average salary of $57,981.In general, billing supervisors achieve similar levels of education than business office managers. They're 1.4% less likely to obtain a Master's Degree while being 0.4% more likely to earn a Doctoral Degree.Business office manager vs. Office supervisor
An office supervisor is responsible for overseeing the progress of the workflow and workforce in an office or similar setting, ensuring everything is running smoothly. Aside from this, they must also carry out other tasks such as processing paperwork, preparing reports and presentations, managing schedules, responding to inquiries, and handling correspondence. There are also instances when a supervisor must evaluate staff and address any issues. Furthermore, as an office supervisor, it is also their responsibility to implement the policies and guidelines of the company.
The required skills of the two careers differ considerably. For example, business office managers are more likely to have skills like "customer service," "payroll processing," "medicare," and "home health." But a office supervisor is more likely to have skills like "office procedures," "office operations," "quality customer service," and "patient care."
Office supervisors make a very good living in the health care industry with an average annual salary of $46,395. On the other hand, business office managers are paid the highest salary in the health care industry, with average annual pay of $57,981.office supervisors typically earn similar educational levels compared to business office managers. Specifically, they're 1.8% less likely to graduate with a Master's Degree, and 0.4% less likely to earn a Doctoral Degree.Business office manager vs. Manager
Managers are responsible for a specific department, function, or employee group. They oversee their assigned departments and all the employees under the department. Managers are responsible that the department they are handling is functioning well. They set the department goals and the steps they must take to achieve the goals. They are also in charge of assessing the performance of their departments and their employees. Additionally, managers are responsible for interviewing prospective candidates for department vacancies and assessing their fit to the needs of the department. Managers also set the general working environment in the department, and they are expected to ensure that their employees remain motivated.
Types of business office manager
Updated January 8, 2025











