Business Office Manager

Cedar River Healthcare Center; Benson Hill (WA); On-site; USD 70,000 - 90,000; Full time

Job summary

PACS is seeking an experienced Business Office Manager to oversee the day-to-day financial and administrative operations of a skilled nursing facility in Washington. The ideal candidate is detail-oriented, dependable, and capable of managing multiple priorities in a fast-paced healthcare environment.

The role focuses on accurate resident billing, AR, collections, and cash posting, with responsibilities spanning Medicare, Medicaid, private-pay, and insurance billing, records maintenance, and

Qualifications

• Experience in a skilled nursing facility billing
• Knowledge of Medicare, Medicaid, and private-pay billing
• Strong organizational, communication, and problem-solving skills
• Ability to work independently, meet deadlines, and manage competing priorities
• Proficiency with Microsoft Office and healthcare billing or accounting software

Responsibilities

• Oversee resident billing, accounts receivable, collections, and cash posting
• Manage Medicare, Medicaid, private-pay, and insurance billing processes
• Verify resident financial information and maintain accurate account records
• Monitor aging reports and follow up on outstanding balances
• Assist residents and families with billing questions and financial paperwork
• Coordinate closely with the Administrator, admissions team, corporate office, and department leaders
• Process accounts payable, deposits, and other business office transactions
• Support payroll and employee-related administrative functions as needed
• Maintain compliance with company policies and all applicable state and federal regulations
• Protect confidential resident, employee, and financial information

Skills

Billing & AR

Medicare billing

Medicaid billing

Private-pay billing

Microsoft Office

Healthcare billing software

Job description

Business Office Manager -Skilled Nursing Facility Salary: $70,000–$90,000 annually We are seeking an experienced and organized Business Office Manager to oversee the day-to-day financial and administrative operations of a skilled nursing facility. The ideal candidate is detail-oriented, dependable, and comfortable managing multiple priorities in a fast-paced healthcare environment.

Key Responsibilities

• Oversee resident billing, accounts receivable, collections, and cash posting
• Manage Medicare, Medicaid, private-pay, and insurance billing processes
• Verify resident financial information and maintain accurate account records
• Monitor aging reports and follow up on outstanding balances
• Assist residents and families with billing questions and financial paperwork
• Coordinate closely with the Administrator, admissions team, corporate office, and department leaders
• Process accounts payable, deposits, and other business office transactions
• Support payroll and employee-related administrative functions as needed
• Maintain compliance with company policies and all applicable state and federal regulations
• Protect confidential resident, employee, and financial information

Qualifications

• Previous business office, billing, or accounts receivable experience in a skilled nursing facility is strongly preferred
• Knowledge of Medicare, Medicaid, managed care, and private-pay billing
• Strong organizational, communication, and problem-solving skills
• Ability to work independently, meet deadlines, and manage competing priorities
• Proficiency with Microsoft Office and healthcare billing or accounting software
• A professional, compassionate approach when working with residents, families, and team members

We offer competitive compensation, a supportive team environment, and the opportunity to play an important role in the success of our facility.

We are an Equal Opportunity Employer and consider applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, genetic information, or any other protected characteristic.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

PACS is revolutionizing the delivery and leadership of post-acute healthcare and support services across the country. Originally founded in 2013, the organization now consists of hundreds of independent operating subsidiaries, as well as ancillary and support services. We bring a proven model of mission-driven care that balances access to a national network of support and resources with local decision making. In addition, PACS helps connect exceptional people with premier healthcare careers across the country. We focus on finding innovative and effective team members based on their qualifications, experience, geographic preferences, and personality fit with the existing facility staff and culture. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.