Business Office Manager

RiseMe; Coeur d'Alene (ID); On-site; USD 42,000 - 64,000; Full time

Job summary

Cascadia Healthcare is seeking a detail-driven Business Office Manager to oversee billing, collections, resident trust accounts, and financial records for our long-term care facility.

You will lead the business office team, ensure compliance and timely reporting, and promote compassionate, resident-focused administration that supports both clinical care and operational excellence. Strong communication, integrity, and proficiency with Microsoft Office are essential.

Qualifications

• Minimum high school diploma required; BA preferred in accounting or business.
• Experience in long-term care billing is preferred.
• Strong communication and organizational skills essential.
• Ability to lead a team and manage multiple tasks.
• Knowledge of Medicaid/Medicare billing a plus.
• Background check required.

Responsibilities

• Manage Medicaid/Medicare and private pay billing and collections.
• Maintain resident trust accounts and monthly reconciliations.
• Oversee daily census activity and month-end close procedures.
• Ensure compliance with licensure and insurance documentation.
• Supervise business office staff and coordinate with HR/payroll designees.
• Communicate payment policies clearly to residents and families.

Skills

Leadership

Communication

Organization

Attention to detail

Billing & collections knowledge

Microsoft Office proficiency

Team management

Integrity & professionalism

Education

High school diploma

BA in Accounting or Business

Tools

Microsoft Excel

Accounting software

Job description

Description

Are you a detail-driven, people-focused professional who thrives on keeping things organized and running smoothly? At Cascadia Healthcare, we’re looking for a Business Office Manager to oversee the financial heartbeat of our facility. From billing and collections to resident trust accounts and team leadership, you’ll ensure that the business side of care is just as strong as the clinical side.

This position is perfect for someone who loves balancing numbers with purpose - helping ensure our residents receive exceptional support, not just medically, but administratively too.

Key Responsibilities:

• Billing & Collections: Manage accurate and timely billing for Medicaid/Medicare, private pay, Veterans Affairs, and other payors. Keep the AR process on track and support collections.
  
• Resident Accounts: Maintain complete, compliant financial files for each resident - from admission through to final billing.
  
• Trust Accounts: Administer and reconcile resident trust accounts and petty cash monthly.
  
• Documentation: Stay on top of daily census activity, cash receipts, account adjustments, and month-end close procedures.
  
• Compliance & Records: Maintain licensure and insurance documentation; ensure adherence to regulatory requirements.
  
• Team Support: Supervise and collaborate with business office team members, HR/payroll designees, and provide support to fellow Business Office Managers.
  
• Communication: Review payment policies with residents and their families. Provide clear, compassionate explanations to help them navigate the process.
  

What You Bring:

• Strong knowledge of long-term care billing practices (bonus if you’ve worked in SNF/AL settings).
  
• The ability to communicate confidently and kindly with residents, families, and team members at all levels.
  
• Excellent organizational and prioritization skills - deadlines don’t scare you.
  
• Proficiency with Microsoft Office and general computer systems.
  
• Flexibility to adapt to changing needs, with sharp attention to detail and a drive for accuracy.
  
• Leadership skills that inspire trust, motivation, and collaboration.
  
• A high standard of integrity and professionalism in all you do.
  

Important Notes:

All Cascadia Healthcare employees must meet state-specific background check requirements before working directly with residents or patients.

Why Cascadia?

• A mission-driven culture that puts people first - residents and team members alike.
  
• Opportunities for career growth and development across a growing healthcare network.
  
• A team that supports, respects, and celebrates the work you do.
  

Make a meaningful impact every day - in a role where business meets heart.
Apply now and bring your skills where they’re needed most.

Requirements

Education

High school diploma or equivalent required.

BA degree in Accounting or Business is preferred.

Licenses/Certification

Valid driver’s license required

Experience

Six months experience in a long-term care environment preferred.

Three years experience in accounts receivable, collections or similar area of responsibility.

Three years office or administration experience preferred.