Business Office Manager

Haven on the River; Grayville (IL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

401(k) retirement program

PTO and holidays

Life and disability insurance

DailyPay

Appreciate You perks

Job summary

Haven on the River is seeking a Business Office Manager with HR responsibilities to oversee resident financial services, Medicaid processes, AR, and trust funds in a skilled nursing environment.

The role also supports onboarding, personnel files, and compliance. The ideal candidate is organized, compassionate, and experienced in SNF operations, with strong communication across residents, families, staff, and external partners.

Qualifications

• 2+ years of Skilled Nursing Facility (SNF) business office experience.
• HR or payroll experience in healthcare preferred.
• Working knowledge of basic accounting and bookkeeping principles.

Responsibilities

• Maintain accurate financial records for all residents.
• Process Medicaid applications; verify payer sources and eligibility.
• Manage accounts receivable, billing, and collections; use AR aging reports.

Skills

Organizational skills

Communication skills

Interpersonal skills

Compassionate care

Tools

PCC

Payroll software

Job description

Business Office Manager (with HR Responsibilities)

Join a Team That Truly Cares

At a Haven Healthcare–affiliated facility, we believe every resident deserves personalized, compassionate care. Our highly skilled clinical and therapy teams work together to create individualized care plans that support each resident’s unique needs, interests, and abilities—ensuring a smoother, safer recovery journey. With a wide array of specialized services and a deep commitment to excellence, Haven Healthcare facilities are equipped to meet the full spectrum of healthcare needs. What truly sets us apart is our passion for innovative, individualized care—for both our residents and our dedicated team members.

Position Summary

The Business Office Manager plays a critical role in the financial and administrative operations of the facility. This position oversees resident financial services, Medicaid processes, accounts receivable, and trust funds, while also supporting human resources functions including onboarding, personnel file maintenance, and compliance support. The ideal candidate is organized, compassionate, and experienced in skilled nursing facility operations.

Why Join Us?

We offer a comprehensive benefits package for full-time team members, including:

• Health, dental, and vision insurance
• 401(k) retirement program
• Paid Time Off (PTO) and holidays
• Voluntary life and disability insurance
• DailyPay – access your earnings on your schedule
• “Appreciate You” Perks – discounts on electronics, apparel, travel, entertainment, and more

Key Responsibilities

Business Office & Financial Operations

• Maintain accurate and complete financial records for all residents
• Process and track Medicaid applications; verify payer sources and eligibility
• Manage accounts receivable, billing, and collections; utilize AR aging reports in PCC
• Maintain, reconcile, and audit Resident Trust Funds
• Assist the Admissions Department with admissions, discharges, payer changes, and census updates
• Participate in Medicare, Medicaid, and Accounts Receivable meetings
• Ensure compliance with state and federal regulations and assist with plans of correction

Human Resources Support

• Assist with new-hire onboarding, orientation, and employment documentation
• Maintain employee personnel files in compliance with regulatory requirements
• Support payroll preparation, timecard review, and employee data accuracy
• Assist leadership with employee relations, policy adherence, and compliance tracking
• Coordinate HR-related audits and surveys as needed

Leadership & Operations

• Serve as Weekend Supervisor as part of a department-head rotation
• Communicate effectively with residents, families, staff, and external agencies
• Support facility leadership with administrative and operational needs

Qualifications & Experience

• Minimum 2 years of Skilled Nursing Facility (SNF) business office experience
• Previous experience with HR or payroll functions in a healthcare setting preferred
• Working knowledge of basic accounting and bookkeeping principles
• Familiarity with regulations including JCAHO, OBRA, IDPA, and HFS
• Strong organizational, administrative, and time-management skills
• Compassionate, respectful approach toward the elderly
• Excellent communication and interpersonal abilities

We are proud to be an Equal Opportunity Employer. All qualified applicants will be considered without regard to race, color, religion, sex, gender identity or expression, national origin, age, disability, or veteran status.

Let us help you make a difference—one resident at a time.