Skilled Nursing Facility Business Office Manager

About the role

Atrium Centers is a 100% employee-owned skilled nursing organization where leadership, accountability, and teamwork matter. As a Business Office Manager, you play a critical role in supporting residents, families, and facility operations through accurate financial management and regulatory compliance. At Atrium, you’re not just an employee — you’re an owner. We invest in our people, value every voice, and foster a culture built on compassion, respect, and shared success.

Responsibilities

You will lead and oversee all financial and administrative operations of the Business Office in a skilled nursing facility, ensuring accuracy, timeliness, and compliance.

• Manage daily Business Office operations in a long-term care setting
• Oversee Accounts Receivable, Accounts Payable, billing, and Resident Trust Accounts
• Process bi-weekly payroll accurately and on time
• Maintain census records, resolve discrepancies, and submit required reports
• Ensure accurate documentation and billing for Medicare, Medicaid, and third-party payors
• Follow up on past-due accounts with proper supporting documentation
• Communicate with residents, responsible parties, insurance companies, and agencies
• Assist with onboarding and maintain employee files in collaboration with HR/BOA
• Manage budgets, office supplies, and financial documentation
• Ensure compliance with federal, state, and company policies and procedures

Requirements

• High School Diploma or GED required
• Minimum 3 years of bookkeeping or Business Office experience
• Long-term care/skilled nursing Business Office experience strongly preferred
• AR/AP experience preferred
• Proficiency in Microsoft Office
• Strong understanding of policies, procedures, and regulatory requirements
• Excellent written and verbal communication skills
• Highly organized with strong attention to detail and follow-through
• Dependable, solution-focused, and able to work independently

Benefits

• 100% Employee-Owned (ESOP)
• 401(k) Matching
• Medical, Dental, Vision & Life Insurance
• Paid Time Off & Holiday Pay
• Cell Phone Discounts
• Tuition Reimbursement — grow your career with our support