Business Office Manager- Skilled Nursing

About the role

The Community Business Office Manager keeps our community running smoothly by overseeing resident billing, collections, and daily business office operations with accuracy and care. In this role you will manage resident accounts, support private‑pay and select third‑party billing, process payments and refunds, and assist with financial inquiries, while also leading our Health Center front‑desk operations to ensure a welcoming and efficient experience for residents, families, and team members.

Responsibilities

• Manage private‑pay billing processes, including collections, payment posting, statements, deposits, refunds, and resident account activity.
• Maintain accurate resident census, demographics, payer details, and financial records across systems; support account follow‑up and resolve inquiries.
• Assist with business office operations such as accounts payable, trust accounts, petty cash, bad‑debt tracking, and collection activities.
• Coordinate with corporate team or external billing partners as needed.
• Oversee daily Health Center front‑desk, receptionist, and concierge operations to ensure proper staffing, smooth workflows, and high service standards.
• Ensure work is completed accurately and on time through regular oversight and support.
• Identify and implement process improvements to enhance front‑office operations, billing coordination, and overall efficiency.
• Provide ongoing supervision of front‑desk staff, including scheduling, training, coaching, performance feedback, and corrective action as needed.

Requirements

• High school diploma or GED.
• At least three years of experience in accounts receivable, billing, collections, or business office support; particularly in a skilled nursing (SNF) community (required).
• Hands‑on experience managing financial records, account follow‑up, and customer‑service inquiries.
• Proficiency with standard office software and business systems.
• Strong organizational, communication, and attention‑to‑detail skills.
• Ability to work independently, manage multiple priorities, and maintain confidentiality.
• Experience with Medicaid processes, trust accounts, long‑term care insurance, and/or resident billing (preferred).

Benefits

• Health, Dental and Vision plans – start the 1st of the month following your start date.
• 20 days of paid time off (increases with years of service), plus 7 company holidays.
• 401(k) with up to 4% employer match and no waiting on funds to vest.
• HSA option with employer contribution.
• Tuition reimbursement and continuing education programs.
• $25/line unlimited cell‑phone plan (plus taxes and fees) and a cell‑phone stipend.
• 5‑star employer‑paid employee assistance program.
• Benefit eligibility is determined by employment status and regularly scheduled hours.

Pay

Salary: $80,170 to $92,000 annually depending on experience.