Business Office Manager- Skilled Nursing

Salary

$80,170 to $92,000 annually depending on experience

About the role

The Community Business Office Manager oversees resident billing, collections, and daily business office operations with accuracy and care. They manage resident accounts, support private pay and select third-party billing, process payments and refunds, and assist with financial inquiries, while also leading Health Center front desk operations.

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
• Aid with business office operations such as accounts payable, trust accounts, petty cash, bad debt tracking, and collection activities
• Cook up 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
• Hands-on experience managing financial records, account follow up, and customer service inquiries
• Proficiency with standard office software and business systems
• Strong organizational, communication, 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)

Qualifications

High school diploma or GED

Skills

• Accounts receivable, billing, collections, or business office support
• Financial records management
• Customer service inquiries
• Standard office software and business systems
• Medicaid processes, trust accounts, long-term care insurance, and/or resident billing

Benefits

See above

Pay

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

Schedule

N/A