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Business Office Manager

Facility Ascension Saint Thomas Rehabilitation Hospital
Location Nashville, TN
Career Area Accounting and Finance
Schedule Full Time
Workplace On-site
Job Shift Day
Date Posted 07/30/2026
Job ID #351024

Your experience matters 

At, Ascension St. Thomas Rehabilitation Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

 What we offer

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:  

Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

Competitive Paid Time Off 

Employee Assistance Program - mental, physical, and financial wellness assistance

Tuition Reimbursement/Assistance for qualified applicants

And much more...

Job Summary:
Business Office Manager 

Leads day-to-day business office and revenue cycle operations, including core accounting activities (A/P, A/R, reconciliations, journal entries, month-end close) and payer reimbursement processes. Partners with clinical and billing teams to ensure accurate charge capture, documentation, and timely collections while supporting audit readiness and process improvement.

Essential Functions

 Perform accounting functions including accounts payable/receivable, bank and other account reconciliations, accrual/recurring journal entries, weekly payroll reports, general ledger activities, financial analysis, and month-end close.

Maximize collection of medical services payments and reimbursements from patients, insurance carriers, and other payers; identify risks to the revenue cycle and implement/communicate mitigations.

Use web-based tools/portals and available resources to provide insurers with required information.

Navigate multiple information systems to select the correct patient account, review, and verify billable charges.

Participate in and assist with audits to capture lost charges and determine billing accuracy; support corrective actions.

Perform other related duties as assigned.

Additional Information

Collaborates closely with Patient Financial Services, HIM, clinical departments, and payers to ensure compliant billing and data integrity. Maintains confidentiality of financial and patient information and adheres to organizational policies and regulatory requirements. May require periodic overtime during month-end close and audit cycles.

Education: Associate's or Bachelor's degree in Business preferred, or equivalent experience.

Experience: Accounts receivable and general accounting experience required; healthcare revenue cycle exposure preferred.

EEOC Statement:

Ascension St. Thomas Rehabilitation Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

 

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