When someone in Murfreesboro searches for what you do, Google shows ads alongside the other results. Google Ads is how a business appears in those spots. Managing it means someone sets the account up, decides which searches to show for, writes the ads, watches how they perform and keeps adjusting.
Jeff does that work for you. The ads are set up for your business and pointed at the pages of your site that are built to bring in calls and form fills, because an ad that lands on the wrong page wastes the click.
That is why design and ads belong together. A site that works on a phone, loads quickly and puts the phone number where a visitor expects it gives the ad something to send people to. If your site is not there yet, Jeff will tell you so on the call, and fixing it first usually makes the ads work better.
Local SEO is a different job: the monthly work of showing up in the map and the listings. Ads and local SEO can run together or on their own, and which suits you is something to talk through.